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LARGE HYPERPLASTIC POLYP DEVELOPING AFTER ENDOSCOPIC MUCOSAL RESECTION OF GASTRIC ADENOMA IN A PATIENT RECEIVING IMMUNOSUPPRESSIVE THERAPY
Authors:Geum‐Youn Gwak  Sang Gyun Kim  Joo Sung Kim  Hyun Chae Jung  In Sung Song
Abstract:A 59‐year‐old man underwent endoscopic mucosal resection (EMR) for gastric adenoma. He had suffered from end‐stage renal disease for several years and had received renal transplantation some 5 months before EMR. Subsequently, he took immunosuppressive agents. Follow‐up gastrofiberscopy 6 months after EMR showed a sessile polyp at the resection site twice as large as the original adenoma; biopsy specimens revealed a hyperplastic nature. At the time of writing, this hyperplastic polyp has neither increased in size nor developed adenomatous or carcinomatous changes by histological examinations over the past 5 years. Therefore, this is a case of hyperplastic polyp occurring at the gastric adenoma resection site, and suggests the possible effect of immunosuppressive therapy on the post‐EMR healing process and hyperplastic polyp development.
Keywords:endoscopic mucosal resection  hyperplastic polyp  immunosuppressive therapy
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