Gastric Cancer Associated with Gastritis Cystica Profunda in Patients without Previous Gastric Surgery.
10.4174/jkss.2010.79.Suppl1.S26
- Author:
June Young KIM
;
Hoon HUR
;
Yong Kwan CHO
;
Sang Uk HAN
- Publication Type:Case Report
- Keywords:
Gastric cancer;
Gastritis cystica profunda;
Peritoneal dialysis
- MeSH:
Adenocarcinoma;
Adenoma;
Biopsy;
Dyspepsia;
Endoscopy, Gastrointestinal;
Gastrectomy;
Gastritis;
Gastrointestinal Stromal Tumors;
Humans;
Kidney Failure, Chronic;
Middle Aged;
Peritoneal Dialysis;
Pyloric Antrum;
Stomach;
Stomach Neoplasms
- From:Journal of the Korean Surgical Society
2010;79(Suppl 1):S26-S30
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastritis cystica profunda (GCP) is an uncommom hyperplastic lesion, which is located within the submucosa. GCP may occur several years after previous gastric surgery. In some reported cases, it was a premalignant condition and may lead to carcinoma of the stomach. We report a case of a 54-year-old man with epigastric pain and dyspepsia. He had undergone peritoneal dialysis for end stage renal disease about 13 years prior. An Upper gastrointestinal endoscopy showed elevated lesion at the gastric antrum, looking like an advanced gastric cancer or gastrointestinal stromal tumor. Endoscopic biopsy results were tubular adenoma with low-grade dysplasia. When followed up 9 months later, the lesion had increased in size and symptoms remained. We therefore performed a subtotal gastrectomy. The final biopsy was adenocarcinoma arising in GCP.