title: Eosinophilic granuloma of the stomach mimicking gastric cancer, report of a case.
abstract: We report a rare case of eosinophilic granuloma of the stomach mimicking gastric cancer. A 49-year-old man was admitted to our hospital to undergo surgery for gastric tumor. Radiologic and endoscopic examination showed a protruding tumor with a deep ulcer at the anterior wall of the pylorus. Although malignant cells were not histologically confirmed in the biopsy specimens, subtotal gastrectomy with lymphadenectomy was performed because gastric cancer was strongly suspected. The gross appearance of the tumor seemed to be that of a gastric cancer, but the histological diagnosis was eosinophilic granuloma. If submucosal tumor of the stomach is suspected, eosinophilic granuloma should be considered as one of the differential diagnoses. Endoscopic removal of the tumor may be useful to make a precise diagnosis before surgery.
authors.affiliation: First Department of Surgery, Kagoshima University School of Medicine, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Yoh
authors.forename: S
authors.initials: S
authors.lastname: Natsugoe
authors.forename: T
authors.initials: T
authors.lastname: Ohsako
authors.forename: K
authors.initials: K
authors.lastname: Yamada
authors.forename: T
authors.initials: T
authors.lastname: Suenaga
authors.forename: S
authors.initials: S
authors.lastname: Hokita
authors.forename: H
authors.initials: H
authors.lastname: Ohi
authors.forename: Y
authors.initials: Y
authors.lastname: Nishimata
authors.forename: H
authors.initials: H
authors.lastname: Nishimata
authors.forename: T
authors.initials: T
authors.lastname: Aikou
mesh_terms: D003937:Diagnosis, Differential; D019160:Endosonography; D004803:Eosinophilic Granuloma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005743:Gastrectomy; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011706:Pyloric Antrum; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000601:surgery