A Coral Like Papillary Mass in the Gastric Cardia
| Journal | Volume 80 - 2017 |
| Issue | Fasc.2 - Clinical images |
| Author(s) | E. K. Kahramanoğlu Aksoy, H. Köklü, ö. öztürk, M. Karcaaltincaba, S. Köklü |
| Full article |
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| (1) Hacettepe University Faculty of Medicine, Depatment of Gastroenterology ; (2) Hacettepe University, Internal Medicine, Gastroenterology ; (3) Hacettepe University, Gastroenterology ; (4) Hacettepe University School of Medicine, Radiology ; (5) Ankara Education and Research Hospital, Gastroenterology. |
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A 75 year-old man was admitted with five kilograms of weight loss and dysphagia for three months to our clinic. Physical examination was unremarkable. Laboratory tests such as, complete blood count, liver enzymes, creatinine, and C-reactive protein were normal. Endoscopy revealed a coral like papillary mass in gastric cardia (Fig. 1). Histopathological examination of the mass biopsies taken during the endoscopy were compatible with hyperplastic, inflammatory changes. Endoscopy was repeated and deeper biopsies were taken from the mass. Microscopic examination revealed similar findings to those from the first endoscopy. Abdominal computed tomography of the patient showed a heterogenous lesion, 65 × 43 mm in size, located in the lesser curvature of the stomach but also extended to the gastroesophageal junction (Fig. 2). The patient underwent total gastrectomy. What is the patient's most likely diagnosis? |
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© Acta Gastro-Enterologica Belgica. PMID 29560710 |
