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

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

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Most cases of Peutz-Jeghers type polyps of the stomach are associated with mucocutaneous pigmentation and multiple intestinal polyposis.A solitary PeutzJeghers 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 pathological report indicated a gastric Peutz-Jeghers type polyp with proliferation of smooth muscle bundles in the submucosal layer,and hyperplastic glands in the mucosal layer and ectopic pancreas of the jejunum.This is the first reported clinical case of a solitary Peutz-Jeghers type polyp of the stomach accompanying a lymph node enlargement and ectopic pancreas in the jejunum that simulates stomach cancer with lymph node metastases.

Peutz-Jeghers type polypSubmucosa lesionStomach cancerEctopic pancreasEndoscopic ultrasonography

Jong-Shiaw Jin、Ji-Kuen Yu、Tang-Yi Tsao、Lien-Fu Lin

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Department of Pathology,Tungs' Taichung MetroHarbor Hospital, Wuqi Township, Taichung County 435, Taiwan, China

Department of General Surgery, Tungs' Taichung MetroHarbor Hospital, Wuqi Township, Taichung County 435,Taiwan, China

Department of Gastroenterology, Tungs' Taichung MetroHarbor Hospital, Wuqi Township, Taichung County 435,Taiwan, China

2012

10.3748/wjg.v18.i15.1845

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子：1.001
ISSN：1007-9327
年,卷(期)：2012.18(15)
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