A Rare Case of Hypertrophic Gastropathy with Adenocarcinoma Arising from a Gastric-type Adenoma

Naomi Kakushima; Daisuke Aizawa; Masao Yoshida; Sayo Ito; Tatsunori Satoh; Hiroyuki Ono; Masanori Terashima; Hiroyasu Kagawa; Tadakazu Shimoda

doi:10.2169/internalmedicine.2355-18

CASE REPORTS

A Rare Case of Hypertrophic Gastropathy with Adenocarcinoma Arising from a Gastric-type Adenoma

Naomi Kakushima, Daisuke Aizawa, Masao Yoshida, Sayo Ito, Tatsunori Satoh, Hiroyuki Ono, Masanori Terashima, Hiroyasu Kagawa, Tadakazu Shimoda

Author information

Naomi Kakushima
Division of Endoscopy, Shizuoka Cancer Center, Japan
Daisuke Aizawa
Division of Pathology, Shizuoka Cancer Center, Japan
Masao Yoshida
Division of Endoscopy, Shizuoka Cancer Center, Japan
Sayo Ito
Division of Endoscopy, Shizuoka Cancer Center, Japan
Tatsunori Satoh
Division of Endoscopy, Shizuoka Cancer Center, Japan
Hiroyuki Ono
Division of Endoscopy, Shizuoka Cancer Center, Japan
Masanori Terashima
Division of Gastric Surgery, Shizuoka Cancer Center, Japan
Hiroyasu Kagawa
Division of Colon and Rectal Surgery, Shizuoka Cancer Center, Japan
Tadakazu Shimoda
Division of Pathology, Shizuoka Cancer Center, Japan

Keywords: hypertrophic gastropathy, protein-losing gastropathy, gastric type adenoma

JOURNAL OPEN ACCESS

2019 Volume 58 Issue 13 Pages 1877-1883

DOI https://doi.org/10.2169/internalmedicine.2355-18

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Abstract

A 60-year-old man was referred for the investigation of giant gastric folds, life-threatening anemia and hypoproteinemia. A combination of multiple endoscopic procedures derived a clinical diagnosis of protein-losing gastropathy with two gastric adenomas. After two months of alimentary therapy, the patient received total gastrectomy and fully recovered. The final pathological diagnosis was hypertrophic gastropathy of unknown origin with concomitant adenocarcinoma arising from a gastric type adenoma.

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