Gastric dysplasia arising from a submucosal heterotopic gastric gland
Abstract A submucosal heterotopic gastric gland (SHGG) is characterized by benign ectopic gastric tissue within the submucosa. Neoplasms arising from SHGGs are rare, and their definitive diagnosis via endoscopic biopsy is often challenging. We report the case of a 74‐year‐old man undergoing screenin...
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| Format: | Article |
| Language: | English |
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Wiley
2024-10-01
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| Series: | JGH Open |
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| Online Access: | https://doi.org/10.1002/jgh3.70047 |
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| author | Mayu Kobayashi Yasuhiko Hamada Miki Usui Hayato Nakagawa |
| author_facet | Mayu Kobayashi Yasuhiko Hamada Miki Usui Hayato Nakagawa |
| author_sort | Mayu Kobayashi |
| collection | DOAJ |
| description | Abstract A submucosal heterotopic gastric gland (SHGG) is characterized by benign ectopic gastric tissue within the submucosa. Neoplasms arising from SHGGs are rare, and their definitive diagnosis via endoscopic biopsy is often challenging. We report the case of a 74‐year‐old man undergoing screening esophagogastroduodenoscopy, which revealed a subepithelial lesion with a central orifice in the upper body of the stomach. Endoscopic submucosal dissection (ESD) was performed because the endoscopic biopsy revealed a suspected pyloric gland adenoma. Pathological examination of the resected specimen confirmed SHGG with focal dysplasia. The patient recovered uneventfully and remained free of recurrence over a 5‐year follow‐up period. This case highlights the utility of ESD in both the treatment and accurate pathological diagnosis of neoplasms arising from SHGGs. |
| format | Article |
| id | doaj-art-fb476d2b1b5c4c41bb7ddb6feaaaf6d8 |
| institution | OA Journals |
| issn | 2397-9070 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | JGH Open |
| spelling | doaj-art-fb476d2b1b5c4c41bb7ddb6feaaaf6d82025-08-20T02:11:57ZengWileyJGH Open2397-90702024-10-01810n/an/a10.1002/jgh3.70047Gastric dysplasia arising from a submucosal heterotopic gastric glandMayu Kobayashi0Yasuhiko Hamada1Miki Usui2Hayato Nakagawa3Department of Gastroenterology and Hepatology Mie University Hospital Tsu JapanDepartment of Gastroenterology and Hepatology Mie University Hospital Tsu JapanDepartment of Pathology Mie University Hospital Tsu JapanDepartment of Gastroenterology and Hepatology Mie University Hospital Tsu JapanAbstract A submucosal heterotopic gastric gland (SHGG) is characterized by benign ectopic gastric tissue within the submucosa. Neoplasms arising from SHGGs are rare, and their definitive diagnosis via endoscopic biopsy is often challenging. We report the case of a 74‐year‐old man undergoing screening esophagogastroduodenoscopy, which revealed a subepithelial lesion with a central orifice in the upper body of the stomach. Endoscopic submucosal dissection (ESD) was performed because the endoscopic biopsy revealed a suspected pyloric gland adenoma. Pathological examination of the resected specimen confirmed SHGG with focal dysplasia. The patient recovered uneventfully and remained free of recurrence over a 5‐year follow‐up period. This case highlights the utility of ESD in both the treatment and accurate pathological diagnosis of neoplasms arising from SHGGs.https://doi.org/10.1002/jgh3.70047dysplasiaendoscopic submucosal dissectionheterotopic gastric glandsubepithelial lesion |
| spellingShingle | Mayu Kobayashi Yasuhiko Hamada Miki Usui Hayato Nakagawa Gastric dysplasia arising from a submucosal heterotopic gastric gland JGH Open dysplasia endoscopic submucosal dissection heterotopic gastric gland subepithelial lesion |
| title | Gastric dysplasia arising from a submucosal heterotopic gastric gland |
| title_full | Gastric dysplasia arising from a submucosal heterotopic gastric gland |
| title_fullStr | Gastric dysplasia arising from a submucosal heterotopic gastric gland |
| title_full_unstemmed | Gastric dysplasia arising from a submucosal heterotopic gastric gland |
| title_short | Gastric dysplasia arising from a submucosal heterotopic gastric gland |
| title_sort | gastric dysplasia arising from a submucosal heterotopic gastric gland |
| topic | dysplasia endoscopic submucosal dissection heterotopic gastric gland subepithelial lesion |
| url | https://doi.org/10.1002/jgh3.70047 |
| work_keys_str_mv | AT mayukobayashi gastricdysplasiaarisingfromasubmucosalheterotopicgastricgland AT yasuhikohamada gastricdysplasiaarisingfromasubmucosalheterotopicgastricgland AT mikiusui gastricdysplasiaarisingfromasubmucosalheterotopicgastricgland AT hayatonakagawa gastricdysplasiaarisingfromasubmucosalheterotopicgastricgland |