A Gastric Intramucosal Mixed Adenocarcinoma-Neuroendocrine Tumor

Gastric mixed adenocarcinoma-neuroendocrine tumor (NET) is a rare composite tumor, and a limited number of studies have reported on it. A 77-year-old man was admitted to our hospital because of acute cholecystitis. He underwent a cholecystectomy. Esophagogastroduodenoscopy during his admission revea...

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Main Authors: Yoshifumi Sano, Shoichi Saito, Hiroshi Kawachi, Jun Tsutsumi, Junko Fujisaki
Format: Article
Language:English
Published: Karger Publishers 2021-03-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:http://prod.karger.com/Article/FullText/513802
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author Yoshifumi Sano
Shoichi Saito
Hiroshi Kawachi
Jun Tsutsumi
Junko Fujisaki
author_facet Yoshifumi Sano
Shoichi Saito
Hiroshi Kawachi
Jun Tsutsumi
Junko Fujisaki
author_sort Yoshifumi Sano
collection DOAJ
description Gastric mixed adenocarcinoma-neuroendocrine tumor (NET) is a rare composite tumor, and a limited number of studies have reported on it. A 77-year-old man was admitted to our hospital because of acute cholecystitis. He underwent a cholecystectomy. Esophagogastroduodenoscopy during his admission revealed a slightly elevated tumor, and biopsy demonstrated a well-differentiated tubular adenocarcinoma. The tumor was resected completely by endoscopic submucosal dissection. Histological findings showed that it measured 9 mm in diameter, was located within the mucosa, and consisted of well-differentiated tubular adenocarcinoma and a NET G1. The NET was covered with adenocarcinoma and both components exhibited histological continuity. The NET and a part of the adenocarcinoma component showed a positive reaction for chromogranin A and synaptophysin. Neither enterochromaffin-like cell hyperplasia nor endocrine cell micronest surrounded the tumor. The diagnosis was gastric mixed adenocarcinoma-NET. The histological continuity between the two components can be likened to the same histogenesis.
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spelling doaj.art-8ca09384487e4cf48f13e395b8ce0d052022-12-21T19:46:54ZengKarger PublishersCase Reports in Gastroenterology1662-06312021-03-0115132333110.1159/000513802513802A Gastric Intramucosal Mixed Adenocarcinoma-Neuroendocrine TumorYoshifumi Sano0Shoichi Saito1Hiroshi Kawachi2Jun Tsutsumi3Junko Fujisaki4Department of Endoscopy, Mashiko Hospital, Kawaguchi, JapanDepartment of Gastroenterology, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, JapanDepartment of Pathology, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, JapanDepartment of Surgery, Mashiko Hospital, Kawaguchi, JapanDepartment of Gastroenterology, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, JapanGastric mixed adenocarcinoma-neuroendocrine tumor (NET) is a rare composite tumor, and a limited number of studies have reported on it. A 77-year-old man was admitted to our hospital because of acute cholecystitis. He underwent a cholecystectomy. Esophagogastroduodenoscopy during his admission revealed a slightly elevated tumor, and biopsy demonstrated a well-differentiated tubular adenocarcinoma. The tumor was resected completely by endoscopic submucosal dissection. Histological findings showed that it measured 9 mm in diameter, was located within the mucosa, and consisted of well-differentiated tubular adenocarcinoma and a NET G1. The NET was covered with adenocarcinoma and both components exhibited histological continuity. The NET and a part of the adenocarcinoma component showed a positive reaction for chromogranin A and synaptophysin. Neither enterochromaffin-like cell hyperplasia nor endocrine cell micronest surrounded the tumor. The diagnosis was gastric mixed adenocarcinoma-NET. The histological continuity between the two components can be likened to the same histogenesis.http://prod.karger.com/Article/FullText/513802stomachcomposite tumormixed adenocarcinoma-neuroendocrine tumorendoscopic submucosal dissection
spellingShingle Yoshifumi Sano
Shoichi Saito
Hiroshi Kawachi
Jun Tsutsumi
Junko Fujisaki
A Gastric Intramucosal Mixed Adenocarcinoma-Neuroendocrine Tumor
Case Reports in Gastroenterology
stomach
composite tumor
mixed adenocarcinoma-neuroendocrine tumor
endoscopic submucosal dissection
title A Gastric Intramucosal Mixed Adenocarcinoma-Neuroendocrine Tumor
title_full A Gastric Intramucosal Mixed Adenocarcinoma-Neuroendocrine Tumor
title_fullStr A Gastric Intramucosal Mixed Adenocarcinoma-Neuroendocrine Tumor
title_full_unstemmed A Gastric Intramucosal Mixed Adenocarcinoma-Neuroendocrine Tumor
title_short A Gastric Intramucosal Mixed Adenocarcinoma-Neuroendocrine Tumor
title_sort gastric intramucosal mixed adenocarcinoma neuroendocrine tumor
topic stomach
composite tumor
mixed adenocarcinoma-neuroendocrine tumor
endoscopic submucosal dissection
url http://prod.karger.com/Article/FullText/513802
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