Gastric carcinoma of the fundic gland type developed 32 years after Helicobacter pylori eradication for duodenal ulcer: a case report

Author:

Suto Daisuke1,Sato Kiichi1,Yoshida Masashi2,Ota Hiroyoshi3,Otake Takaaki1,Osawa Yosuke1,Nakazato Yoshimasa4,Ohdaira Hironori2,Suzuki Yutaka2,Kohgo Yutaka1

Affiliation:

1. Department of Gastroenterology

2. Department of Surgery

3. Department of Biomedical Laboratory Sciences, Shinshu University School of Medicine, Matsumoto, Japan

4. Department of Pathology, International University of Health and Welfare Hospital, Nasushiobara, Tochigi

Abstract

Introduction: Gastric cancer has been reported to occur with mild to moderate mucosal atrophy, particularly after the eradication of Helicobacter pylori (HP) more than 10 years previously. However, no conclusion has been reached on how many years of esophagogastroduodenoscopy should be performed after HP eradication. Presentation of case: This was a case of gastric carcinoma of the fundic gland type (GCFGT) 32 years after the eradication of HP, which is the longest posteradication period reported. A 62-year-old male patient was diagnosed with GCFGT after HP eradication and regular esophagogastroduodenoscopy, which revealed a white raised lesion on the anterior wall of the upper part of the body. Endoscopic submucosal dissection was performed for GCFGT, and the vertical and horizontal margins were negative. Clinical discussion: In this case, HP was eradicated in 1990, and GCFGT developed 32 years later. To the best of our knowledge, this is the longest case in which gastric cancer appeared after HP eradication. HP eradication therapy for a duodenal ulcer was first reported in 1990, supporting that this is the longest case. Conclusions: This is the first case of gastric cancer more than 20 years after the eradication of HP. The endoscopic findings of this case are typical of GCFGT and may be useful when encountering such cases in the future. Therefore, the risk of gastric cancer should be considered for an extended period even after the eradication of HP, and regular esophagogastroduodenoscopy is recommended even after the eradication of HP.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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