[A case of giant gastric villous tumor with carcinomatous change].
Villous tumors of the stomach are somewhat rare with approximately 100 cases only reported in the literatures and have tendency to undergo malignant transformation as high as 72%. They are frequently multiple and associated with other gastrointestinal neoplasm. Thirty percent of them are associated with an independent gastric carcinoma. Gastric villous tumor has certain radiologic characteristics that may permit a preoperative diagnosis and also some distinctive clinicopathologic features which make early diagnosis and proper treatment possible. We experienced a 64-year-old man who complained of prolonged general weakness, weight loss for several months and left upper quadrant pain for four days. Esophagogastroduodenoscopy and barium study of upper gastrointestinal tract demonstrated typical, irregular, frond-like surfaced villous tumor occupying nearly whole gastric lumen and located eccentrically along the lesser curvature side. Endoscopic biopsy of the tumor revealed a gastric villous tumor with carcinomatous change.
Jang
Chae Ryeong
CR
Department of Internal Medicine, Dong-A University College of Medicine, Seo-gu, Busan, Korea.
Choi
Seok Reyol
SR
Cho
Jeong Hwan
JH
Koo
Young Hun
YH
Han
Seung Ho
SH
Ryu
Seung Hoon
SH
Lee
Dong Hyun
DH
Jang
Jin Seok
JS
Lee
Jong Hun
JH
Roh
Myung Hwan
MH
Cho
Jin Han
JH
D018253:Adenoma, Villous / Q000000981:diagnostic imaging / Q000473:pathology; D002277:Carcinoma / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*