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Foveolar gastric metaplasia presenting as a duodenal tumor with an atypical appearance: a case report

Overview of attention for article published in Journal of Medical Case Reports, December 2016
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Title
Foveolar gastric metaplasia presenting as a duodenal tumor with an atypical appearance: a case report
Published in
Journal of Medical Case Reports, December 2016
DOI 10.1186/s13256-016-1163-5
Pubmed ID
Authors

Takahiro Abe, Masayuki Kato, Shuzo Kohno, Sigeharu Hamatani, Yosuke Kawahara, Kimio Isshi, Koji Matsuda, Kazuki Sumiyama

Abstract

Foveolar gastric metaplasia of the duodenum is a frequent but not as yet considered correlate of endoscopically detected duodenal polyps. The majority of foveolar gastric metaplasias associated with polyps presented a typical benign endoscopic appearance and they were diagnosed by biopsy. Here we report a case of a surgical-resected foveolar gastric metaplasia manifesting as a duodenal tumor with an atypical appearance. An asymptomatic 56-year-old Asian man who presented with a foveolar gastric metaplasia of atypical appearance and had previously undergone esophagogastroduodenoscopy was referred to our hospital. A biopsy revealed a normal duodenum with an inflamed mucosa. Narrow band imaging with magnifying endoscopy revealed normal microvessels with normal micromucosa, which indicated non-neoplasia. Endoscopic ultrasonography using a miniature probe system (20 MHz) revealed a hypoechoic mass with multiple anechoic lesions (16-mm diameter) located in the mucosal layer. The lesion was excised via laparotomy assisted by endoscopic techniques similar to endoscopic submucosal dissection. The pathology indicated foveolar gastric metaplasia. Foveolar gastric metaplasia can present as a duodenal tumor. We identified two important clinical issues. First, foveolar gastric metaplasia can present as a duodenal tumor with an atypical benign appearance. Second, both endoscopic ultrasonography and narrow band imaging are useful techniques to increase the diagnostic rate of this condition.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 13 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 13 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 38%
Librarian 1 8%
Student > Ph. D. Student 1 8%
Student > Doctoral Student 1 8%
Student > Master 1 8%
Other 1 8%
Unknown 3 23%
Readers by discipline Count As %
Medicine and Dentistry 10 77%
Psychology 1 8%
Unknown 2 15%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 January 2017.
All research outputs
#18,504,575
of 22,925,760 outputs
Outputs from Journal of Medical Case Reports
#2,270
of 3,935 outputs
Outputs of similar age
#310,521
of 420,907 outputs
Outputs of similar age from Journal of Medical Case Reports
#43
of 89 outputs
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We're also able to compare this research output to 89 others from the same source and published within six weeks on either side of this one. This one is in the 2nd percentile – i.e., 2% of its contemporaries scored the same or lower than it.