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胃底腺腺瘤的成功内镜治疗:一例报告

Successful Endoscopic Management of Oxyntic Gland Adenoma: A Case Report.

作者信息

Ramachandran Rajarajeshwari, Grantham Tyler, Loeffler Jeffrey, Reddy Madhavi, Gaduputi Vinaya

机构信息

Fresno Veterans Affairs Medical Center, CA, USA.

Staten Island University Hospital, NY, USA.

出版信息

J Investig Med High Impact Case Rep. 2025 Jan-Dec;13:23247096251313729. doi: 10.1177/23247096251313729.

DOI:10.1177/23247096251313729
PMID:39884983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11783470/
Abstract

Oxyntic gland adenomas (OGAs) are benign gastric neoplasms composed of gland-forming epithelial cells with predominantly chief cell differentiation resembling oxyntic glands confined to the mucosa. If the tumor has submucosal invasion, it should be classified as gastric adenocarcinoma of fundic gland type. The OGAs can pose a diagnostic challenge, as they can resemble aggressive gastric neoplasms. There are no current guidelines on the management of OGA. Due to the relatively small size and low malignant potential, these lesions are typically managed endoscopically. In this case, we are reporting a 22-year-old woman who was diagnosed with OGA during evaluation of iron deficiency anemia and underwent successful endoscopic resection.

摘要

胃泌酸腺腺瘤(OGAs)是一种良性胃肿瘤,由形成腺体的上皮细胞组成,主要为壁细胞分化,类似于局限于黏膜层的胃泌酸腺。如果肿瘤侵犯黏膜下层,则应归类为胃底腺型腺癌。胃泌酸腺腺瘤可能带来诊断挑战,因为它们可能类似侵袭性胃肿瘤。目前尚无关于胃泌酸腺腺瘤管理的指南。由于这些病变相对较小且恶性潜能较低,通常通过内镜进行处理。在此病例中,我们报告一名22岁女性,她在缺铁性贫血评估期间被诊断为胃泌酸腺腺瘤,并成功接受了内镜切除。

相似文献

1
Successful Endoscopic Management of Oxyntic Gland Adenoma: A Case Report.胃底腺腺瘤的成功内镜治疗:一例报告
J Investig Med High Impact Case Rep. 2025 Jan-Dec;13:23247096251313729. doi: 10.1177/23247096251313729.
2
Oxyntic gland adenoma endoscopically mimicking a gastric neuroendocrine tumor: A case report.内镜下酷似胃神经内分泌肿瘤的胃底腺腺瘤:一例报告
World J Gastroenterol. 2015 Apr 28;21(16):5099-104. doi: 10.3748/wjg.v21.i16.5099.
3
Gastric epithelial neoplasm of fundic-gland mucosa lineage: representative of the low atypia differentiated gastric tumor and Ki67 may help in their identification.胃底腺黏膜上皮内肿瘤:低异型分化胃肿瘤的代表,Ki67 有助于其识别。
Pathol Oncol Res. 2024 May 30;30:1611734. doi: 10.3389/pore.2024.1611734. eCollection 2024.
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Endoscopic resection is a suitable initial treatment strategy for oxyntic gland adenoma or gastric adenocarcinoma of the fundic gland type.内镜下切除是胃底腺型胃泌酸腺腺瘤或腺癌的合适初始治疗策略。
Sci Rep. 2021 Apr 1;11(1):7375. doi: 10.1038/s41598-021-86893-w.
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Gastric adenocarcinoma with chief cell differentiation: a proposal for reclassification as oxyntic gland polyp/adenoma.胃主细胞型腺癌:建议重新分类为胃底腺息肉/腺瘤。
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Gastric epithelial neoplasm of fundic-gland mucosa lineage: proposal for a new classification in association with gastric adenocarcinoma of fundic-gland type.胃底腺黏膜上皮肿瘤:与胃底腺型腺癌相关的新分类建议。
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Lesion size, elevated morphology, and non or closed-type atrophy are predictive factors for gastric adenocarcinoma of the fundic gland type rather than oxyntic gland adenoma.病变大小、隆起形态以及非开放型或闭合型萎缩是胃底腺型胃癌而非胃体腺腺瘤的预测因素。
J Gastrointest Oncol. 2023 Apr 29;14(2):554-562. doi: 10.21037/jgo-22-870. Epub 2023 Mar 16.

本文引用的文献

1
Lesion size, elevated morphology, and non or closed-type atrophy are predictive factors for gastric adenocarcinoma of the fundic gland type rather than oxyntic gland adenoma.病变大小、隆起形态以及非开放型或闭合型萎缩是胃底腺型胃癌而非胃体腺腺瘤的预测因素。
J Gastrointest Oncol. 2023 Apr 29;14(2):554-562. doi: 10.21037/jgo-22-870. Epub 2023 Mar 16.
2
Clinicopathological Features and the Prevalence of Oxyntic Gland Neoplasm: A Single-center Retrospective Study.胃泌素瘤的临床病理特征及发病情况:一项单中心回顾性研究。
Intern Med. 2023 Oct 1;62(19):2763-2774. doi: 10.2169/internalmedicine.0552-22. Epub 2023 Feb 15.
3
Endoscopic resection is a suitable initial treatment strategy for oxyntic gland adenoma or gastric adenocarcinoma of the fundic gland type.
内镜下切除是胃底腺型胃泌酸腺腺瘤或腺癌的合适初始治疗策略。
Sci Rep. 2021 Apr 1;11(1):7375. doi: 10.1038/s41598-021-86893-w.
4
The pathology of gastric and duodenal polyps: current concepts.胃和十二指肠息肉的病理学:当前概念。
Histopathology. 2021 Jan;78(1):106-124. doi: 10.1111/his.14275.
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Oxyntic gland neoplasm of the stomach: expanding the spectrum and proposal of terminology.胃泌酸腺肿瘤:扩大范围并提出术语建议。
Mod Pathol. 2020 Feb;33(2):206-216. doi: 10.1038/s41379-019-0338-1. Epub 2019 Aug 2.
6
Gastric adenocarcinoma with chief cell differentiation: a proposal for reclassification as oxyntic gland polyp/adenoma.胃主细胞型腺癌:建议重新分类为胃底腺息肉/腺瘤。
Am J Surg Pathol. 2012 Jul;36(7):1030-5. doi: 10.1097/PAS.0b013e31825033e7.
7
Gastric adenocarcinoma of fundic gland type (chief cell predominant type): proposal for a new entity of gastric adenocarcinoma.胃底腺型腺癌(主细胞优势型):一种新的胃腺癌实体的提出。
Am J Surg Pathol. 2010 May;34(5):609-19. doi: 10.1097/PAS.0b013e3181d94d53.
8
Gastric adenocarcinoma with chief cell differentiation.具有主细胞分化的胃腺癌。
Pathol Int. 2007 Aug;57(8):517-22. doi: 10.1111/j.1440-1827.2007.02134.x.