The Korean Journal of Gastroenterology  2012;59(5):366-371

doi:10.4166/kjg.2012.59.5.366

A Ten-year Follow-up of a Case with Gastric Adenoma Accompanied with Gastritis Cystica Profunda Treated by Endoscopic Submucosal Dissection.

Jung Hee KIM 1 ; Sung Yeol JANG ; Jeong Ah HWANG ; Sung Hae HA ; Won Gyu CHOI ; Ju Sang PARK ; Eun Mee HAN

Affiliations

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Keywords

Gastritis cystica profunda; Gastric adenoma; Endoscopic submucosal dissection

Country

Republic of Korea

Language

Korean

Abstract

Gastritis cystica profunda (GCP) is an uncommon hyperplastic benign lesion, and histologically characterized by hyperplasia and cystic dilatation of the gastric glands extending into the submucosal layer. GCP usually occurs at a gastroenterostomy site, although it can occasionally be found in an unoperated stomach. GCP is thought to be a possible precancerous lesion, since a few early gastric cancers associated with it were reported. Herein, we report a case of gastric adenoma associated with GCP in an unoperated patient. The sizes of both the GCP and adenoma overlying it have increased during a 10 year follow-up period. Adenoma on the latest biopsy showed low grade dysplasia, and it was successfully treated by endoscopic submucosal dissection.