title: [Laparoscopic Gastrectomy for Gastric Adenocarcinoma of the Fundic Gland Type - Report of a Case].
abstract: 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.
authors.affiliation: Dept. of Surgery and Gastroenterology, Yuai Memorial Hospital.
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Yoshitake
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kumashiro
authors.forename: Takaaki
authors.initials: T
authors.lastname: Watanabe
authors.forename: Mio
authors.initials: M
authors.lastname: Adachi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Matsui
authors.forename: Kou
authors.initials: K
authors.lastname: Kurimori
authors.forename: Naoya
authors.initials: N
authors.lastname: Ikeda
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nakamura
authors.forename: Yawara
authors.initials: Y
authors.lastname: Omoto
authors.forename: Yuki
authors.initials: Y
authors.lastname: Fujita
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Nishikage
authors.forename: Shuji
authors.initials: S
authors.lastname: Kato
authors.forename: Masaaki
authors.initials: M
authors.lastname: Kanenobu
authors.forename: Masahiro
authors.initials: M
authors.lastname: Tsubaki
authors.forename: Shoichi
authors.initials: S
authors.lastname: Kato
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D001706:Biopsy; D005743:Gastrectomy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome