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Finding an early carcinoma in a gastric fundic gland polyp is concerning for gastric adenocarcinoma proximal polyposis syndrome (GAPPS), a variant of familial adenomatous polyposis.

Case provided by Dr. Elizabeth Montgomery, Clinical Professor, Vice Chair of Faculty Development & Mentoring, Director of Surgical Pathology Fellowship Training Program, Co-Director, Pathology Reference Services, and Editor-In-Chief at Innovative Science Press.

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