Fundic gland polyp: histology

Case contributed by Dr Andrew Ryan

Presentation

Incidental finding in gastric sleeve resection.

Patient Data

Age: 50 years old
Gender: Male
Pathology

The incidental 2mm polyp shows histological features of benign fundic gland polyp.

The gastric mucosa is focally thickened with a polypoid outline, with underlying rounded to angular dilated glands.

The polyp is formed by loose aggregates of dilated glands within oxyntic (acid-secreting) mucosa ie. gastric fundus and body. 

The dilated glands are lined predominantly by parietal cells and smaller proportions of chief cells.

Case Discussion

Fundic gland polyps are very common benign polyps of the stomach. Whilst most are sporadic, there is an increased incidence with proton pump inhibitor (PPI) therapy and an association with familial adenomatous polyposis (FAP), although the latter appear to display a different mutation profile.

PlayAdd to Share

Case information

rID: 46500
Published: 6th Jul 2016
Last edited: 10th Apr 2018
Inclusion in quiz mode: Excluded

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.