[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.
Department of Internal Medicine, Dong-A University College of Medicine, Seo-gu, Busan, Korea.
Chae Ryeong
CR
Jang
Seok Reyol
SR
Choi
Jeong Hwan
JH
Cho
Young Hun
YH
Koo
Seung Ho
SH
Han
Seung Hoon
SH
Ryu
Dong Hyun
DH
Lee
Jin Seok
JS
Jang
Jong Hun
JH
Lee
Myung Hwan
MH
Roh
Jin Han
JH
Cho
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*