case_images: PMC6008950_01
case_images: PGA located in the second portion of the duodenum opposite to the ampulla.
case_images: CRIGM2018-9287843.001.jpg
case_images: PMC6008950_01_CRIGM2018-9287843.001.jpg
case_images: fig1
case_images: Several weeks later he underwent an endoscopic ultrasound that revealed a 13-mm pedunculated and sessile polyp on the lateral wall opposite to the major papilla in the second portion of the duodenum (Figure 1).
case_images: Low power view of the PGA (arrow) arising from the duodenum with normal villous mucosa (arrowhead).
case_images: CRIGM2018-9287843.002.jpg
case_images: PMC6008950_01_CRIGM2018-9287843.002.jpg
case_images: fig2
case_images: Pathology revealed a pyloric gland adenoma (Figures 2, 3, and 4) with predominantly low grade dysplasia (Figures 5 and 6) and some small areas of focal high grade dysplasia.
case_images: High power view of the PGA (arrow) arising from the duodenum with normal villous mucosa (arrowhead).
case_images: CRIGM2018-9287843.003.jpg
case_images: PMC6008950_01_CRIGM2018-9287843.003.jpg
case_images: fig3
case_images: Pathology revealed a pyloric gland adenoma (Figures 2, 3, and 4) with predominantly low grade dysplasia (Figures 5 and 6) and some small areas of focal high grade dysplasia.
case_images: High power view of the PGA showing the ground glass appearance of cytoplasm and a monolayer of round nuclei.
case_images: CRIGM2018-9287843.004.jpg
case_images: PMC6008950_01_CRIGM2018-9287843.004.jpg
case_images: fig4
case_images: Pathology revealed a pyloric gland adenoma (Figures 2, 3, and 4) with predominantly low grade dysplasia (Figures 5 and 6) and some small areas of focal high grade dysplasia.
case_images: High power view exhibiting small amount of atypia of the PGA.
case_images: CRIGM2018-9287843.005.jpg
case_images: PMC6008950_01_CRIGM2018-9287843.005.jpg
case_images: fig5
case_images: Pathology revealed a pyloric gland adenoma (Figures 2, 3, and 4) with predominantly low grade dysplasia (Figures 5 and 6) and some small areas of focal high grade dysplasia.
case_images: High power view exhibiting cell atypia including nuclear membrane irregularity and nuclear pleomorphism.
case_images: CRIGM2018-9287843.006.jpg
case_images: PMC6008950_01_CRIGM2018-9287843.006.jpg
case_images: fig6
case_images: Pathology revealed a pyloric gland adenoma (Figures 2, 3, and 4) with predominantly low grade dysplasia (Figures 5 and 6) and some small areas of focal high grade dysplasia.