title: A rare case of xanthogranuloma of the stomach masquerading as an advanced stage tumor.
abstract: BACKGROUND
  Xanthogranuloma of the stomach is an extremely rare disease, and this lesion has only been found to coexist with early gastric cancer in 2 cases in the literature.
  
  
  METHODS
  We report a case of xanthogranuloma of the stomach combined with early gastric cancer that mimicked an advanced stage tumor. A 65-year-old female was referred to our hospital because of epigastralgia. During a physical examination, a defined abdominal mass was palpable in the region of the left hypochondrium. Imaging studies revealed an advanced gastric cancer, which was suspected of having infiltrated the abdominal wall. Total gastrectomy and resection of the regional lymph node and abdominal wall were performed. Histopathologic examination of the resected specimen demonstrated xanthogranuloma combined with early gastric cancer.
  
  
  CONCLUSIONS
  Xanthogranuloma presenting as a form of SMT (submucosal tumor) of the stomach is an extremely rare disease, and diagnosing it preoperatively is difficult. Further accumulation and investigation of this entity is necessary.
authors: Department of Surgery, Naga Municipal Hospital, 1282, Uchita, Kinokawa, Wakayama 649-6414, Japan. hkino@nagahp.jp
authors: Hiroyuki
authors: H
authors: Kinoshita
authors: Shunsuke
authors: S
authors: Yamaguchi
authors: Yoshifumi
authors: Y
authors: Sakata
authors: Kazuo
authors: K
authors: Arii
authors: Kazunari
authors: K
authors: Mori
authors: Rieko
authors: R
authors: Kodama
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006099:Granuloma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D013272:Stomach Diseases / Q000175:diagnosis* / Q000601:surgery; D013274:Stomach Neoplasms / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D014973:Xanthomatosis / Q000175:diagnosis* / Q000601:surgery