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. 2018 Oct 8;6(10):E1198–E1203. doi: 10.1055/a-0607-2452

Fig. 1.

Fig. 1

 Illustrative case of polypoid nodule scar (PNS) after endoscopic submucosal dissection (ESD) from Kobe University Hospital, Kobe, Japan. a Endoscopic view of defect after enbloc resection of a lesion situated in the pre-pyloric area. b Ulcerated scar 1 month after ESD. c Small nodule noted at ESD scar 1 year after ESD. d Protuberant nodule (PNS) observed 2 years after ESD. e PNS remains unchanged 3 years after ESD. f Histology from nodule biopsy demonstrates hyperplastic polypoid neoformation, showing elongation, tortuosity and dilation of the gastric foveolae, and stroma with fibrosis and inflammatory cells.