An unusual case of localized multiple peptic ulcer of the gastric fundus producing a large exophytic fibrous pseudotumor.
We report an unusual case of fundic ulcer of the stomach, suspected radiologically of being an intramural malignant tumor. Grossly the lesion was a protruding large fibrous pseudotumor, reminiscent of fibromatosis or of a granuloma with secondary ulceration. Microscopical examination revealed that it was an unusually voluminous fibrosis produced in the base of long-standing multiple peptic ulcers in a limited area of the gastric fundus. The fundic gland area is a rare site of peptic ulceration, and the occurrence of such an exophytic tumor-forming type of peptic ulcer in this area even rarer, only one relevant case having been reported before.
D005260:Female; D005350:Fibroma / Q000209:etiology* / Q000473:pathology; D005748:Gastric Fundus / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D010437:Peptic Ulcer / Q000473:pathology; D013274:Stomach Neoplasms / Q000209:etiology* / Q000473:pathology; D013276:Stomach Ulcer / Q000150:complications*