title: A rare case of gastric lipoma with early gastric cancer.
abstract: An 84-year-old man was admitted to our hospital with a 1-month history of epigastralgia. Upper gastrointestinal endoscopy revealed gastric cancer and a gastric submucosal tumor (SMT) on the greater curvature of the gastric body. By endoscopic ultrasonography, SMT was demonstrated as a well-circumscribed, smooth-bordered and hypoechoic mass localized in the submucosal layer. Total gastrectomy was performed. The histology of the resected specimen revealed a gastric lipoma and an early gastric cancer widespread to the surface on the lipoma. Two lesions were present in the same lesion, but not linked. We report a rare case of gastric lipoma complicated with early gastric cancer.
authors.affiliation: Second Department of Internal Medicine, Faculty of Medicine, Kagoshima University, Kagoshima.
authors.forename: Takafumi
authors.initials: T
authors.lastname: Yamamoto
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Imakiire
authors.forename: Shinya
authors.initials: S
authors.lastname: Hashiguchi
authors.forename: Jun
authors.initials: J
authors.lastname: Matsumoto
authors.forename: Jun
authors.initials: J
authors.lastname: Kadono
authors.forename: Nobuo
authors.initials: N
authors.lastname: Hamada
authors.forename: Takako
authors.initials: T
authors.lastname: Yoshioka
authors.forename: Shinichi
authors.initials: S
authors.lastname: Kitajima
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D000368:Aged; D000369:Aged, 80 and over; D019160:Endosonography; D005743:Gastrectomy; D005773:Gastroscopy; D006801:Humans; D008067:Lipoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome