Korean Journal of Gastrointestinal Endoscopy 1997;17(2): 133-141.
원저 : 식도 위장관 ; 위저선 폴립의 임상 및 병리학적 분석 : 가족성 선종성 폴립증에 동반된 다발성 위저선 폴립과 산발적으로 발생된 위저선 폴립의 비교 ( Original Articles : Esophagus , Stomach & Intestine ; Fundic Gland Polyps : A Clinical and Pathologic Analysis with Special Reference to Familial Adenomatous Polyposis )
김용일, 김우호, 송인성, 김나영, 이동호, 최규완, 이국래, 장미수, 최기영 (Yong Il Kim, Woo Ho Kim, In Sung Song, Na Young Kim, Dong Ho Lee, Kyu Wan Choi, Kook Lae Lee, Mee Soo Chang and Ghee Young Choe)
Abstract
Background/Aims: The aims of this study are to clarify the morphology of fundic gland polyp (FGP) and to compare the features of FGP between familial adenomatous polyposis-associated group and sporadic development group. Methods: A total of 15 endo- scopic biopsy specimens of FGP from 13 patients were divided into three groups; Group A(3 cases; familial adenomatous polyposis family, multiple FGPs), Group B(3 cases; sporadic development, multiple FGPs) and Group C(7 cases; sporadic development, single FGP), and their endoseopic /microscopic features including mucin histochemistry and immunohistoc- hemistty(for PCNA) were compared. Results: FGPs were confined to the gastric body and fundus in all 3 groups, and measured 2-8 mm. Their numbers varied even in Group A and Group B, The difference was observed in their median age: 26 years in Group A and 55 years in Group B, respectively, but there were no differences in endoscopic, histologic, mucin histochemical and immunohistochemical(for PCNA) features. Micro-scopically, all FGPs were composed of fundic glands and scattered microcysts with a spectrum of disordered glandular architecture which ranged from convoluted gland to Y-shaped gland, to stellateshaped gland, and to irregular tortuous glancl with dilated lumen. Conclusions: We assume that diversity af morphologic features of FGP may develop from progression of hyperplastic/hamartomatous fundic glandular proliferation which may end up with microcyst formation as an evolutional change. Familial adenomatous polyosis-associated FGPs were not endoscopically and histologically distingishable from sporadic deveoped FGPs. (Korean J Gastrointest Endosc 17: 133-139, 1997)
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