A Case Report: Endoscopic Diagnosis and Treatment of Gastric Adenocarcinoma of Fundic Gland Type

  • Tingfa PengEmail author
  • Lijuan Deng
  • Ling Hou
  • Yuexing Wang
  • Ruilan Wang
  • Rongmei Gao
  • Xiaojuan Ye
Case Report


Gastric adenocarcinoma of fundic gland type (GA-FG) was firstly mentioned as a new and independent histopathological type of gastric cancer by Ueyama et al. [5].It grows in the upper stomach usually, and submucosal invasion can happen when the lesion is still in small size [1, 2, 3, 4, 5]. Even so, GA-FG is identified as a class of epithelial tumor with low-degree dysplasia and low-grade malignancy at the present stage. The Ki-67 labeling index score is usually very low and almost no lymphatic metastasis, but some can show high-grade malignancy [1, 2]. The team of Ueyama had summarized some general characteristics of GA-FG on conventional white-light imaging (C-WLI): submucosal tumor shape or depressed/flat type, whitish color, dilated vessels with branch architecture, and background mucosa without atrophic change [3]. When the magnifying endoscopy with narrow band imaging (M-NBI) was used, the demarcation line, irregular microsurface, and microvascular patterns of the...



The authors thank Dr. Xudan Yang for kindly providing Immunohistochemical staining.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in the report were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from the patient for publication of this case report.


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© Springer Science+Business Media, LLC, part of Springer Nature 2020

Authors and Affiliations

  1. 1.Department of GastroenterologyArmed Police Force Hospital of Sichuan ProvinceLeshanChina
  2. 2.Department of PathologyArmed Police Force Hospital of Sichuan ProvinceLeshanChina

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