[Anatomopathological study of 86 gastric adenomas. Experience in 14 years].
OBJECTIVE
To analyze the clinical presentation, pathological aspect and treatment of gastric adenomas.


METHODS
Retrospective analysis of 75 patients aged 26 to 88 years in whom a gastric adenoma was diagnosed.


RESULTS
Seventy one patients had elevated endoscopical lesions and two had depressed or flat lesions. Ninety percent of lesions were located in the gastric antrum. Pathological study detected 6 focal carcinomas within the adenomas and 5 concomitant carcinomas located elsewhere in the stomach. Fifty four patients were subjected to endoscopical resection. Among patients with focal carcinomas, a gastrectomy was performed in four and endoscopical resection in two.


CONCLUSIONS
Gastric adenomas must be considered in the differential diagnosis of gastric elevated lesions and may be confused in early gastric cancer. There is a histological resemblance between adenomas and gastric dysplasia described by several authors though only in our cases and in the Japanese literature the adenoma is referred to as mostly a polypoid sessile lesion.
Pisano
R
R
Instituto Chileno Japonés de Enfermedades Digestivas, Hospital Clínico San Borja Arriarán, Santiago de Chile.
Llorens
P
P
Backhouse
C
C
Palma
M
M
D000236:Adenoma / Q000473:pathology*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000473:pathology*