Xanthogranulomatous pseudotumor of stomach induced by perforated peptic ulcer mimicking a stromal tumor

Lai, Hsin Yi; Chen, Jeon Hor; Chen, Chi Kuan; Chen, Yung‐Fang; Ho, Yung Jen; Yang, Mei; Shen, Wu‐Chung

doi:10.1007/s00330-006-0188-3

Cited by 5 publications

(6 citation statements)

References 2 publications

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“…However, rare cases of xanthogranulomatous inflammation have additionally been reported in other organs, including the stomach, colon, pancreas and uterus (3-6). The occurrence of xanthogranuloma of the stomach is rare, and only a few cases have been reported to date (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). To the best of our knowledge, this is the first reported case of xanthogranulomatous gastritis in the remnant stomach.…”

Section: Discussionmentioning

confidence: 99%

“…Preoperative diagnosis of xanthogranulomatous inflammation is difficult and its' features are unknown (1)(2)(3)(4)(5)(6). A xanthogranuloma occurring in the stomach is rare, and to the best of our knowledge, only a few cases have been reported to date (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). In such cases, the disease was preoperatively misdiagnosed as a submucosal tumor or advanced gastric cancer, and gastrectomy was performed (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

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Xanthogranulomatous gastritis of the remnant stomach mimicking a malignant tumor: A case report

et al. 2015

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Abstract. Xanthogranulomas are known to develop in the gallbladder and kidney. Xanthogranuloma of the stomach is a rare disease, and to the best of our knowledge, only a few cases have been reported to date. The present patient was a 64-year-old man who underwent a wide resection of the stomach following a Billroth-I reconstruction for a gastric ulcer ~40 years prior to the current presentation. Due to tarry stools, a gastrointestinal endoscopy was performed, leading to identification of an ulcerated gastric lesion located at the previous suture line at the lesser curvature of the remnant stomach. This lesion was elevated, appearing to indicate a submucosal tumor. Positron emission tomography revealed uptake of fluorodeoxyglucose radiotracer by the tumor. Although not indicated by the biopsy specimens, a malignant tumor of the remnant stomach was suspected, in the form of a malignant gastrointestinal tumor or remnant gastric cancer. Curative resection of the tumor was successfully performed. Histological examination of the resected specimens revealed xanthogranulomatous inflammation consisting of foamy histiocytes and plasma cells, however, no cancer cells were observed. The tumor was diagnosed as xanthogranulomatous gastritis that mimicked a malignant tumor of the remnant stomach. The present study therefore indicates that inflammatory tumors should be considered in the differential diagnosis of malignant tumors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Xanthogranulomatous gastritis of the remnant stomach mimicking a malignant tumor: A case report

et al. 2015

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“…However, there has been inadequate evidence to suggest association between XGI and gastrointestinal malignancies. Of the eight cases of XGI of the stomach reported in the literature, [8][9][10][11][12][13] coexistence of XGI with gastric cancer was reported in three cases. Histological examination of these cases did not support continuity between the xanthogranuloma and adenocarcinoma.…”

Section: Discussionmentioning

confidence: 99%

“…Rare occurrence in the gastro-intestinal tract was illustrated in only one recently reported case in the terminal ileum, 2 four reported cases in the colon, [3][4][5][6] eight cases in a series of interval appendicectomy specimens, 7 and eight cases with gastric involvement. [8][9][10][11][12][13] Of the four cases with colonic involvement, two involved the sigmoid colon, 3,4 one involved the caecum, 5 and one involved the ascending colon. 6 Most of these colonic lesions presented with a mass-forming lesion with predominant submucosal involvement, while primary mucosal involvement was only reported in the last case involving the ascending colon.…”

Section: Introductionmentioning

confidence: 99%

Xanthogranulomatous inflammation of terminal ileum: report of a case with small bowel involvement

2015

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Xanthogranulomatous inflammation is a rare pathological condition most frequently detected in the kidney and gallbladder. Reported herein is a case of xanthogranulomatous inflammation in a 51-year-old male presenting as a mass-forming lesion in the terminal ileum with mucosal ulceration. Diagnostic laparoscopy followed by ileocecectomy was performed due to intra-operative suspicion of carcinoma of appendix. This is a report of the condition involving the terminal ileum with mucosal ulceration and full-thickness involvement of bowel wall which are uncommon features of xanthogranulomatous inflammation in previously reported lower gastro-intestinal tract lesions.

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“…In the case of stomach, reports of xanthogranulomatous gastritis (XGG), which is a type of subepithelial tumor (SET), are available internationally. [3][4][5][6][7][8][9][10][11][12][13][14] The XGG, is misdiagnosed as an advanced gastric cancer or gastrointestinal stromal tumor (GIST), and is diagnosed after partial or total gastric resection. [3][4][5][6]9,11,12,14 The incidence or fatality rate of XGG is unknown, and no optimal treatment has been found.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Resection of Xanthogranulomatous Gastritis Presenting as a Subepithelial Tumor: A Case Report

Kim

Chang

et al. 2018

Korean J Helicobacter Up Gastrointest Res

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Xanthogranulomatous gastritis (XGG) presenting as a subepithelial tumor (SET) is a very rare entity. We report a case of SET-like XGG diagnosed and treated with endoscopic resection. A 55-year-old female patient was initially referred with a 1.5-cm SET located at the anterior wall of the middle antrum. Endoscopic ultrasound examination revealed submucosal invasion without any perigastric lymph node enlargement. Endoscopic resection was performed for an accurate diagnosis and treatment, and the lesion was diagnosed histopathologically as XGG. At the 18-month follow-up after endoscopic resection, there was no evidence of XGG recurrence. SET-like XGG is very rare and the diagnosis is a preoperative challenge. However, inflammatory tumors should be considered in the differential diagnosis of SET.

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Xanthogranulomatous pseudotumor of stomach induced by perforated peptic ulcer mimicking a stromal tumor

Cited by 5 publications

References 2 publications

Xanthogranulomatous gastritis of the remnant stomach mimicking a malignant tumor: A case report

Xanthogranulomatous gastritis of the remnant stomach mimicking a malignant tumor: A case report

Xanthogranulomatous inflammation of terminal ileum: report of a case with small bowel involvement

Endoscopic Resection of Xanthogranulomatous Gastritis Presenting as a Subepithelial Tumor: A Case Report

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