Kim Daniel Dongiu, Tsai Andréia I An, Otani André Ricardo Oyamada, Puglia Carlos Roberto, Malheiros Carlos Alberto
Irmandade da Santa Casa de Misericórdia de São Paulo, SP, BR.
Rev Col Bras Cir. 2011 May-Jun;38(3):205-6. doi: 10.1590/s0100-69912011000300013.
We report a case of gastric lipoma, a rare benign stomach tumor. There are approximately 200 cases previously described in literature. A male, 62-year-old patient with no clinical complaint presented a tumor lesion in the stomach antrum found in a routine upper endoscopy. A surgical resection (subtotal gastrectomy) was done and the histological examination showed submucosal lipoma without signs of malignancy. This report points to the growth of routine examination in the current clinical practice and the dilemma brought by overdiagnosis.
我们报告一例胃脂肪瘤，这是一种罕见的胃部良性肿瘤。此前文献中大约描述过200例。一名62岁男性患者，无临床症状，在常规上消化道内镜检查中发现胃窦部有一个肿瘤病变。进行了手术切除（胃大部切除术），组织学检查显示为黏膜下脂肪瘤，无恶性迹象。本报告指出了当前临床实践中常规检查的增加以及过度诊断带来的困境。
