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A case of multiple submucosal cysts of the stomach



A case of multiple submucosal cysts of the stomach



Gastroenterological Endoscopy 33(8): 1729-1736



A 60-year-old female was admitted for further examination of a large elevated lesion which looked submucosal tumor on mass screening X-ray examination. Upper GI series as well as endoscopical examination revealed a round elevated lesion with mucosal bridge on the posterior wall of the gastric antrum. Simple gasterectomy was performed under the diagnosis of submucosal tumor. In the resected specimen, one large submucosal cyst measuring 40 .times. 30 mm at the posterior wall of the antrum and two small submucosal cysts at the anterior wall of the antrum. Histologically, the lesions consisted of a large cyst with heterogenous glands and of the multiple simple retention cysts with a single layer of cells in the submucosal layer. Twenty-nine cases of submucosal cysts which were diagnosed as remarkable submucosal tumors or cystic lesions preoperatively were reported in Japan since 1974. Multiple cysts were common, and most cysts were smaller than 3.0 cm in diameter. Chronic inflammation was complicated in 13 cases and cancer in 9.

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Accession: 006932878

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