A Case of Giant Gastric Villous Tumor with Carcinomatous Change.
- Author:
Chae Ryeong JANG
1
;
Seok Reyol CHOI
;
Jeong Hwan CHO
;
Young Hun KOO
;
Seung Ho HAN
;
Seung Hoon RYU
;
Dong Hyun LEE
;
Jin Seok JANG
;
Jong Hun LEE
;
Myung Hwan ROH
;
Jin Han CHO
Author Information
1. Departments of Internal Medicine, Dong-A University College of Medicine, Busan, Korea. sychoi@mail.donga.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Giant villous tumor;
Stomach;
Carcinomatous change
- MeSH:
Adenoma, Villous/pathology/radiography;
Carcinoma/pathology/radiography;
Humans;
Male;
Middle Aged;
Stomach Neoplasms/*pathology/radiography
- From:The Korean Journal of Gastroenterology
2005;45(6):431-435
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Villous tumors of the stomach are somewhat rare with approximately 100 cases only reported in the literatures and have tendency to undergo malignant transformation as high as 72%. They are frequently multiple and associated with other gasrtrointestinal neoplasm. Thirty percent of them are associated with an independent gastric carcinoma. Gastric villous tumor has certain radiologic characteristics that may permit a preoperative diagnosis and also some distinctive clinicopathologic features which make early diagnosis and proper treatment possible. We experienced a 64-year-old man who complained of prolonged general weakness, weight loss for several months and left upper quadrant pain for four days. Esophagogastroduodenoscopy and barium study of upper gastrointestinal tract demonstrated typical, irregular, frond-like surfaced villous tumor occupying nearly whole gastric lumen and located eccentrically along the lesser curvature side. Endoscopic biopsy of the tumor revealed a gastric villous tumor with carcinomatous change.
