Pyloric Gastric Adenoma: Endoscopic Detection, Removal, and Echoendosonographic Characterization

Author:

Liyen Cartelle Anabel1,Holzwanger Erik A.2,Igbinedion Samuel2,Mahmood Sultan2,Rosenberg Harry J.3,Berzin Tyler M.2,Sawhney Mandeep S.2,Gabr Moamen2,Pleskow Douglas K.2

Affiliation:

1. Department of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

2. Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

3. Department of Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

Abstract

ABSTRACT Pyloric gland adenomas (PGAs) are rare neoplasms found not only in the gastrointestinal tract but also in other extragastrointestinal organs. They have potential for malignant conversion, and early detection and removal is imperative to prevent invasive disease. PGAs prove difficult in management and surveillance given their rarity. However, increasing familiarity with histological appearance and use of advanced tools such as echoendosonography can bring greater understanding of their clinical history. We describe a unique case of a PGA detected within a hiatal hernia sac characterized with echoendosonography and highlight the need to develop surveillance protocols for these types of lesions.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

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