Gastric cancer. EndoTODAY

[Gastric cancer 813. Pyloric gland adenoma with high grade dysplasia]

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A 55 years old male was referred due to a cardia polyp. The initial pathology was "indefinite for dysplasia", and there was a note that "there are slightly crowded glands with equivocal nuclear features of regenerating atypia versus low-grade dysplasia. Close follow up is recommended." Pathology review of the outside slide was "gastric type mucosa showing pyloric gland type adenoma." Endoscopic resection was done.

55 year old male (2017)
Pyloric gland adenoma with high grade dysplasia
1. Location : cardia
2. Gross type : elevated
3. Size of adenoma : (1) longest diameter, 10 mm (2) vertical diameter, 6 mm
4. Resection margin : negative resection margins

It is difficult to talk to the pathologist in every case, so I read the 'note' very carefully. Usually, there is a point that the pathologist want to talk to me in the note of the report.