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Another case of serrated adenoma of the stomach
  1. Issam M’sakni1,
  2. Soumaya Rammeh Rommani1,
  3. Sabah Ben Kahla2,
  4. Taoufik Najjar2,
  5. Sarrah Ben Jilani3,
  6. Rachida Zermani3
  1. 1Laboratory of Pathology and Cytology, Charles Nicolles Hospital, Tunis, Tunisia
  2. 2Department of Gastroenterology, Charles Nicolles Hospital, Tunis, Tunisia
  3. 3Laboratory of Pathology and Cytology, Charles Nicolles Hospital, Tunis, Tunisia
  1. Correspondence to:
 Dr I M’sakni
 10 rue Kerkena, Rades Meliane 2098, Tunisia;msaknissam{at}yahoo.fr

https://doi.org/10.1136/jcp.2006.037960

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    Adenomas of the stomach are histologically classified into tubular, villous and mixed (tubulovillous) adenoma. In the literature, in two previous studies, only six cases of serrated adenoma of the stomach have been reported. In this communication, we report a newly identified case. The patient presented with gastric complaints. The endoscopic examination showed a pediculated protruding tumour localised in the gastric corpus. Biopsies were reported as tubular adenoma with high-grade dysplasia. A surgical local excision of the tumour was performed. The histological examination revealed elongated fronds with lateral crenated, saw-tooth-like notches as a result of scalloped epithelial indentations. Areas with high grade dysplasia but without invasive carcinoma were demonstrated. This seems to be the first case of serrated adenoma localised in the gastric corpus in the literature.

    Rubio1 reported the …

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    Footnotes

    • Competing interests: None.