A Benign Ulcer of the Gastric Fundus Reminiscent of a Malignant Submucosal Tumor.
- Author:
Yun Hwa JUNG
1
;
Byung Wook KIM
;
Hyung Gil KIM
;
Hyoung Jin CHANG
;
Do Seon SONG
;
Min HUH
;
Min Kuk KIM
;
Hyun Jung JUNG
;
Jeong Seon JI
;
Jeong Won JANG
;
Hwang CHOI
;
Kyu Yong CHOI
;
In Sik JUNG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. bleok@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Fundus ulcer;
Submucosal tumor;
Endoscopic ultrasonography
- MeSH:
Endosonography;
Follow-Up Studies;
Gastric Acid;
Gastric Fundus;
Gastroscopy;
Necrosis;
Pepsin A;
Polyps;
Stomach Ulcer;
Ulcer;
Varicose Veins
- From:Korean Journal of Gastrointestinal Endoscopy
2008;36(3):150-153
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The gastric fundus is a rare site for benign ulcer occurrence as it consists of parietal cells, which secret gastric acid. It is resistant to gastric acid and pepsin, and has an abundant blood supply. Varices or other vascular lesions, such as polyps and submucosal tumors, are more frequently found in the gastric fundus. When an ulcer is found in the gastric fundus, it is important to consider underlying conditions such as a malignancy. In this case, a benign gastric ulcer in the gastric fundus dome formed a protruding mass-like lesion with central necrosis, which was reminiscent of a malignant submucosal tumor. Proper follow-up gastroscopy with endoscopic ultrasonography helped to differentiate these similar lesions. We report here a case of a benign gastric ulcer in the fundus dome that was reminiscent of a malignant submucosal tumor, with a review of the literature.
