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KMID : 0931320170170020094
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대한상부위장관.헬리코박터학회지
2017 Volume.17 No. 2 p.94 ~ p.97
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Oxyntic Gland Adenoma Treated by Endoscopic Mucosal Resection
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Song In-Ji
Joo Jin-Woo
Park Jun-Chul
Shin Sung-Kwan
Lee Yong-Chan
Lee Sang-Kil
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Abstract
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Oxyntic gland polyp/adenoma is a recently reported rare neoplasm previously called gastric adenocarcinoma of fundic gland type(chief cell predominant type). We report a case of oxyntic gland adenoma curatively treated with endoscopic mucosal resection. On endoscopy, a small, round polypoid lesion was observed in the fundus of the stomach of a 33-year-old man. He underwent endoscopic mucosal resection with a cap for diagnostic and therapeutic purposes, and was diagnosed as having oxyntic gland adenoma with high-grade dysplasia. On immunohistochemical analysis, the tumor was positive for MUC6 and negative for MUC5AC and MUC2. Our case suggests that endoscopic mucosal resection with immunohistochemical analysis might be useful for correctly diagnosing an uncertain lesion suspected as an oxyntic gland adenoma.
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KEYWORD
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Endoscopic mucosal resection, Oxyntic gland adenoma, Stomach
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