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Clinical Journal of Gastroenterology

, Volume 11, Issue 2, pp 133–137 | Cite as

Large-cell neuroendocrine carcinoma arising from a gastritis cystica polyposa

  • Ryusaku Kusunoki
  • Hirofumi Fujishiro
  • Yuji Onoda
  • Shinsuke Suemitsu
  • Aya Fujiwara
  • Kousuke Tsukano
  • Satoshi Kotani
  • Daisuke Kuroki
  • Sayaka Ogawa
  • Satoshi Yamanouchi
  • Masahito Aimi
  • Satoko Ito
  • Youichi Miyaoka
  • Tatsuya Miyake
  • Naruaki Kohge
  • Tomonori Imaoka
  • Michio Takamura
  • Hideyuki Ohnuma
  • Shunji Ishihara
  • Yoshikazu Kinoshita
Case Report

Abstract

Gastritis cystica polyposa is a polypoid lesion that arises from the gastric mucosa at the gastrojejunal anastomotic site and is characterized by cystic dilation of the gastric glands. A 78-year-old man who underwent distal gastrectomy for a gastric ulcer with Billroth II reconstruction approximately 40 years previously, exhibited a gastritis cystica polyposa at the anastomotic site. Ulceration was observed on an annual endoscopic examination. Endoscopic ultrasonography revealed a submucosal hypoechoic mass with multiple cystic lesions. Gastrectomy was performed and histological examination revealed a large-cell neuroendocrine carcinoma with cystic dilation of the gastric glands. Here, we report the first case of a large-cell neuroendocrine carcinoma arising from a gastritis cystica polyposa. Endoscopic ultrasonography was effective at diagnosing a submucosal hypoechoic mass with cystic dilation of the gastric glands.

Keywords

Endoscopic ultrasonography Gastric cystica polyposa Neuroendocrine carcinoma 

Supplementary material

12328_2017_816_MOESM1_ESM.pptx (129 kb)
Supplementary material 1 (PPTX 128 kb)

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Copyright information

© Japanese Society of Gastroenterology 2018

Authors and Affiliations

  • Ryusaku Kusunoki
    • 1
  • Hirofumi Fujishiro
    • 1
  • Yuji Onoda
    • 1
  • Shinsuke Suemitsu
    • 1
  • Aya Fujiwara
    • 1
  • Kousuke Tsukano
    • 1
  • Satoshi Kotani
    • 2
  • Daisuke Kuroki
    • 1
  • Sayaka Ogawa
    • 1
  • Satoshi Yamanouchi
    • 1
  • Masahito Aimi
    • 1
  • Satoko Ito
    • 1
  • Youichi Miyaoka
    • 2
  • Tatsuya Miyake
    • 3
  • Naruaki Kohge
    • 1
  • Tomonori Imaoka
    • 1
  • Michio Takamura
    • 4
  • Hideyuki Ohnuma
    • 5
  • Shunji Ishihara
    • 6
  • Yoshikazu Kinoshita
    • 6
  1. 1.Departments of GastroenterologyShimane Prefectural Central HospitalIzumoJapan
  2. 2.Departments of EndoscopyShimane Prefectural Central HospitalIzumoJapan
  3. 3.Departments of HepatologyShimane Prefectural Central HospitalIzumoJapan
  4. 4.Departments of SurgeryShimane Prefectural Central HospitalIzumoJapan
  5. 5.Departments of PathologyShimane Prefectural Central HospitalIzumoJapan
  6. 6.Department of Internal Medicine 2Shimane University School of MedicineIzumoJapan

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