Gastric adenocarcinoma of the fundic gland (chief cell predominant type) with brownish pigmentation

A 73-year-old man with a history of eradication of Helicobacter pylori and gastroduodenal ulcer 20 years previously was referred to our clinic for follow-up EGD. An elevated lesion with brownish pigmentation, 4  mm in diameter, was observed in the fundus of the stomach. Dilatated blood vessels were observed on the surface of the lesion, and there was no margin with the surrounding mucosa, as with a submucosal tumor (SMT) (A). Although the SMT-like shape and vasodilatation on the tumor surface were both ch aracteristic, brownish pigmentation is also characteristic of gastric adenocarcinoma of the fundic gland (chief cell predominant type).
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: At the focal point Source Type: research