Solitary gastric Peutz-Jeghers type stomach polyp mimicking a malignant gastric tumor.

World Journal of Gastroenterology : WJG
Jong-Shiaw JinLien-Fu Lin

Abstract

Most cases of Peutz-Jeghers type polyps of the stomach are associated with mucocutaneous pigmentation and multiple intestinal polyposis. A solitary Peutz-Jeghers type polyp of the stomach is rare. We here report a case of a 71-year-old woman with a solitary Peutz-Jeghers type polyp of the stomach who presented with intolerable epigastric pain and weight loss of 5 kg over the prior two months. During the hospital treatment course for this patient, endoscopic examination revealed a bulging lesion with a central hole, mucosal ulceration, an asymmetrical wall thickness and a narrowing of the gastric lumen. A gastric biopsy further revealed ulceration with moderate dysplasia. The patient received endoscopic ultrasonography which showed a second subepithelial lesion that measured 4 cm × 3 cm. Computed tomography of the abdomen subsequently showed a thickened gastric wall with three visibly enlarged lymph nodes, all greater than 1 cm. The suspected diagnosis was malignant gastric cancer with lymph node metastases. The other lesion, which measured 2 cm × 2 cm × 1 cm was noted in the submucosa of the jejunum during surgery. The patient was treated using a subtotal gastrectomy and partial resection of the jejunal tumor. The final patholo...Continue Reading

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Citations

Nov 26, 2015·Gut·Tzu-Haw ChenChi-Ming Tai
Aug 9, 2018·Immunopharmacology and Immunotoxicology·Wenjun CaoJianzhong Zheng
Dec 5, 2013·World Journal of Clinical Cases·Brian J SecemskyBarbara H Jung
Apr 16, 2016·Clinical Medicine Insights. Gastroenterology·Monika VyasXuchen Zhang
Aug 12, 2020·Clinical Journal of Gastroenterology·Katsuya EndoKennichi Satoh

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