Laparoscopic Gastrectomy for Gastric Adenocarcinoma of the Fundic Gland Type - Report of a Case
Yoshitake, K.; Kumashiro, Y.; Watanabe, T.; Adachi, M.; Matsui, S.; Kurimori, K.; Ikeda, N.; Nakamura, H.; Omoto, Y.; Fujita, Y.; Nishikage, T.; Kato, S.; Kanenobu, M.; Tsubaki, M.; Kato, S.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 43(12): 1875-1877
2016
ISSN/ISBN: 0385-0684 PMID: 28133161 Document Number: 688486
A 69-year-old man underwent esophagogastroduodenoscopy, which showed a slightly depressed lesion at the greater curvature of the gastric body. We diagnosed gastric adenocarcinoma of the fundic gland type(GA-FG)from examination of the biopsy specimen. Endoscopic submucosal dissection(ESD)was performed for curative resection. The pathological examination revealed a positive vertical margin. Consequently, laparoscopic gastrectomy was additionally performed. GA-FG has recently been proposed as a new entity of gastric adenocarcinoma. GA-FG mostly develops without Helicobacter pylori infection and often invades the submucosa, regardless of size. However, GA-FG rarely demonstrates lymphatic and venous invasion despite deep submucosal invasion. Since most GA-FG cases undergo ESD, few reports of surgical resection exist. Here, we report our experience of laparoscopic gastrectomy for GA-FG.