title: [Endoscopic resection of a rare gastric adenoma (pyloric gland adenoma) with transition into a well-differentiated adenocarcinoma].
abstract: We present the case of a 76-year-old lady in whom the work-up for iron-deficiency anaemia resulted in the finding of a giant gastric polyp. The polyp could be completely removed endoscopically. The final histology showed the rare entity of a pyloric gland adenoma with focal transition into a well-differentiated adenocarcinoma. The patient is well after a follow-up of 12 months. Pyloric gland adenoma was first described in 1990. In spite of its benign histological appearance, a transition into adenocarcinoma has been reported in up to 30 % of the cases. Thus, although relatively rare, the gastroenterologist/endoscopist, as well as the pathologist should be aware of the entity of pyloric gland adenoma.
authors.affiliation: Abteilung für Innere Medizin, Gemeinschaftskrankenhaus Bonn gGmbH, Bonn.
authors.forename: F L
authors.initials: FL
authors.lastname: Dumoulin
authors.forename: J
authors.initials: J
authors.lastname: Abel
authors.forename: P
authors.initials: P
authors.lastname: Zumfelde
authors.forename: R
authors.initials: R
authors.lastname: Hildenbrand
authors.forename: R
authors.initials: R
authors.lastname: Bollmann
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery*; D000236:Adenoma / Q000473:pathology* / Q000601:surgery*; D000368:Aged; D002471:Cell Transformation, Neoplastic / Q000473:pathology; D004724:Endoscopy / Q000379:methods; D005260:Female; D005753:Gastric Mucosa / Q000473:pathology / Q000601:surgery*; D006801:Humans; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome