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Clin Endosc. 2013 Jul;46(4):407-409. English. Case Report.
Jeon MS , Kim GH , Park DY , Jeong JH , Kahng DH , Jang HY , Choi JH , Park EK .
Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. doc0224@pusan.ac.kr
Department of Pathology, Pusan National University School of Medicine, Busan, Korea.
Department of Internal Medicine, Good Samsun Hospital, Busan, Korea.
Abstract

Intestinal metaplasia of the stomach is a common metaplastic lesion associated with chronic gastritis and mucosal atrophy. However, squamous metaplasia is a comparatively rare condition. On endoscopy, squamous metaplasia is usually observed as a whitish mucosal lesion in the lesser curvature of the cardiac region of the stomach. When Lugol's iodine solution is applied, the lesion stains brown in the same way as normal esophageal mucosa. We report a case of 79-year-old man with a whitish flat lesion in the lesser curvature of the cardiac region on surveillance endoscopy after endoscopic treatment of gastric adenoma. The endoscopic biopsy showed stratified squamous epithelial mucosa.

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