tailieunhanh - báo cáo khoa học: "A rare case of xanthogranuloma of the stomach masquerading as an advanced stage tumor"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A rare case of xanthogranuloma of the stomach masquerading as an advanced stage tumor | Kinoshita et al. World Journal of Surgical Oncology 2011 9 67 http content 9 1 67 7 2 WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access A rare case of xanthogranuloma of the stomach masquerading as an advanced stage tumor 1 1 11 1 2 Hiroyuki Kinoshita Shunsuke Yamaguchi Yoshifumi Sakata Kazuo Arii Kazunari Mori and Rieko Kodama 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. Case presentation 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. Conclusion 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. Keywords xanthogranuloma early gastric cancer Background Xanthogranuloma was first described by Oberling in 1935 1 . Although it is known to develop in the gall bladder as xanthogranulomatous cholecystitis xanthogra-nuloma of the stomach is an extremely rare disease and only a few cases have been reported. Hence we report a case of xanthogranuloma combined with early gastric cancer that mimicked an advanced stage tumor. Case report A 65-year-old female was referred to Naga Municipal Hospital because of epigastralgia. During a physical examination a defined abdominal mass .