Department of Surgery, Naga Municipal Hospital, 1282, Uchita, Kinokawa, Wakayama 649-6414, Japan.
World J Surg Oncol. 2011 Jul 2;9:67. doi: 10.1186/1477-7819-9-67.
Xanthogranuloma of the stomach is an extremely rare disease, and this lesion has only been found to coexist with early gastric cancer in 2 cases in the literature.
We report a case of xanthogranuloma of the stomach combined with early gastric cancer that mimicked an advanced stage tumor. A 65-year-old female was referred to our hospital because of epigastralgia. During a physical examination, a defined abdominal mass was palpable in the region of the left hypochondrium. Imaging studies revealed an advanced gastric cancer, which was suspected of having infiltrated the abdominal wall. Total gastrectomy and resection of the regional lymph node and abdominal wall were performed. Histopathologic examination of the resected specimen demonstrated xanthogranuloma combined with early gastric cancer.
Xanthogranuloma presenting as a form of SMT (submucosal tumor) of the stomach is an extremely rare disease, and diagnosing it preoperatively is difficult. Further accumulation and investigation of this entity is necessary.
胃黄色肉芽肿是一种极为罕见的疾病，该病变仅在文献中与 2 例早期胃癌同时发现。
我们报告了一例胃黄色肉芽肿合并早期胃癌的病例，该病例表现为晚期肿瘤样。一名 65 岁女性因上腹痛被转诊至我院。体格检查时，左上腹可触及明确的腹部肿块。影像学检查显示为晚期胃癌，疑似侵犯腹壁。行全胃切除术及区域淋巴结和腹壁切除术。切除标本的组织病理学检查显示黄色肉芽肿合并早期胃癌。
表现为胃黏膜下肿瘤（SMT）形式的黄色肉芽肿是一种极为罕见的疾病，术前诊断较为困难。有必要进一步积累和研究这一实体。
