A Case of Early Remnant Stomach Cancer Derived from Gastritis Cystica Polyposa

Yasuhiro Matsugu, Makoto Takahashi, Shinkichiro Yoshioka, Masazumi Okajima, Hirotaka Tashiro, Kazuhiro Toyota, Yoshiyuki Masaoka, Takaaki Eto*

Department of Surgery, Chugoku Rousai Hospital
*Department of Surgery, Sanyo Clinic

In 1965 Nikorai et al first reported the concept of "gastritit cystica" for the torose mucosal polypoid lesion found at the gastrojejunostomy site in gastrectomized patients. There have been few reports describing patients with remnant gastric carcinoma which resulted from gastritis cystica polyposa. We recently encountered a patient who revealed the correctness of this concept. A 71-year-old man who received hemigastrectomy for a duodenal ulcer 36 years ago developed a circular sessile polypoid lesion at the gastrojejunostomy site. Histologically this lesion showed characteric findings of gastritis cystica polyposa such as hyperplasia of the juvenile foveolar gastric epithelium, and hyperplaria and cystic dilatation of the glands. It was of great interest that the foci of well differentiated adenocarcinoma were scattered throughout this gastritis cystica palyposa lesion. From these histologic observations we now support the strong relationship of gastritis cystica polyposa to developing cancer.

Key words
gastritis cystica polyposa, remnant stomach cancer

Reprint requests
Yasuhiro Matsugu Department of Surgery, Chugoku Rousai Hospital
1-5-1 Hiro Tagaya, Kure City, 737-01 JAPAN

Accepted
March 13, 1991

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