Gastric Adenocarcinoma of Fundic Gland Type: Report of Three Cases
Recently, fundic gland type gastric adenocarcinoma (GA-FG) has been reported as a new entity. This report describes GA-FG among Koreans for the first time. From March 2008 to July 2010 we identified only three cases of GA-FG out of over 6,000 GAs resected by endoscopy or surgery. Cell differentiatio...
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The Korean Society of Pathologists and The Korean Society for Cytopathology
2012
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pubmed-34797592012-10-29 Gastric Adenocarcinoma of Fundic Gland Type: Report of Three Cases Park, Eun Su Kim, Young Eun Park, Cheol Keun Yao, Takashi Kushima, Ryoji Kim, Kyoung-Mee Case Report Recently, fundic gland type gastric adenocarcinoma (GA-FG) has been reported as a new entity. This report describes GA-FG among Koreans for the first time. From March 2008 to July 2010 we identified only three cases of GA-FG out of over 6,000 GAs resected by endoscopy or surgery. Cell differentiation by mucin proteins, pepsinogen-I, and H+/K+-ATPase was evaluated. All three cases were male patients and diagnosed as early stage GA. Histologically, GA-FGs were well-differentiated adenocarcinoma with pale gray-blue, basophilic columnar or cuboidal cells and mildly enlarged nuclei, resembling chief cells. All three cases were positive for pepsinogen-I and were classified as gastric mucin phenotype. Among three histologic subtypes of GA-FG, since tumors were mainly composed of chief cells, our three cases were classified as chief cell predominant type. In conclusion, GA-FG is very rare among Koreans and pepsinogen-I and MUC6 expression are typical immunohistochemical findings in GA-FG suggesting differentiation toward fundic glands. The Korean Society of Pathologists and The Korean Society for Cytopathology 2012-06 2012-06-22 /pmc/articles/PMC3479759/ /pubmed/23110017 http://dx.doi.org/10.4132/KoreanJPathol.2012.46.3.287 Text en © 2012 The Korean Society of Pathologists/The Korean Society for Cytopathology http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
repository_type |
Open Access Journal |
institution_category |
Foreign Institution |
institution |
US National Center for Biotechnology Information |
building |
NCBI PubMed |
collection |
Online Access |
language |
English |
format |
Online |
author |
Park, Eun Su Kim, Young Eun Park, Cheol Keun Yao, Takashi Kushima, Ryoji Kim, Kyoung-Mee |
spellingShingle |
Park, Eun Su Kim, Young Eun Park, Cheol Keun Yao, Takashi Kushima, Ryoji Kim, Kyoung-Mee Gastric Adenocarcinoma of Fundic Gland Type: Report of Three Cases |
author_facet |
Park, Eun Su Kim, Young Eun Park, Cheol Keun Yao, Takashi Kushima, Ryoji Kim, Kyoung-Mee |
author_sort |
Park, Eun Su |
title |
Gastric Adenocarcinoma of Fundic Gland Type: Report of Three Cases |
title_short |
Gastric Adenocarcinoma of Fundic Gland Type: Report of Three Cases |
title_full |
Gastric Adenocarcinoma of Fundic Gland Type: Report of Three Cases |
title_fullStr |
Gastric Adenocarcinoma of Fundic Gland Type: Report of Three Cases |
title_full_unstemmed |
Gastric Adenocarcinoma of Fundic Gland Type: Report of Three Cases |
title_sort |
gastric adenocarcinoma of fundic gland type: report of three cases |
description |
Recently, fundic gland type gastric adenocarcinoma (GA-FG) has been reported as a new entity. This report describes GA-FG among Koreans for the first time. From March 2008 to July 2010 we identified only three cases of GA-FG out of over 6,000 GAs resected by endoscopy or surgery. Cell differentiation by mucin proteins, pepsinogen-I, and H+/K+-ATPase was evaluated. All three cases were male patients and diagnosed as early stage GA. Histologically, GA-FGs were well-differentiated adenocarcinoma with pale gray-blue, basophilic columnar or cuboidal cells and mildly enlarged nuclei, resembling chief cells. All three cases were positive for pepsinogen-I and were classified as gastric mucin phenotype. Among three histologic subtypes of GA-FG, since tumors were mainly composed of chief cells, our three cases were classified as chief cell predominant type. In conclusion, GA-FG is very rare among Koreans and pepsinogen-I and MUC6 expression are typical immunohistochemical findings in GA-FG suggesting differentiation toward fundic glands. |
publisher |
The Korean Society of Pathologists and The Korean Society for Cytopathology |
publishDate |
2012 |
url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3479759/ |
_version_ |
1611918386165448704 |