J Korean Soc Radiol.  2010 May;62(5):467-469. 10.3348/jksr.2010.62.5.467.

Fat-Containing Giant Hamartoma of the Stomach

Affiliations
  • 1Department of Radiology, Guro Hospital, University of Korea, Korea. cooljay@korea.ac.kr
  • 2Department of Surgery, Anam Hospital, University of Korea, Korea.
  • 3Department of Pathology, Ansan Hospital, Korea University, Ansan, Korea.

Abstract

Gastric hamartoma is considered to be a rare disease entity, usually associated with polyposis syndrome. We report a case of unique and distinguishable fat containing unusually large gastric hamartoma and gastrointestinal bleeding. The patient had no history of polyposis syndrome.


MeSH Terms

Hamartoma
Hemorrhage
Humans
Rare Diseases
Stomach
Stomach Neoplasms

Figure

  • Fig. 1 Giant gastric hamartoma with a fat component. A. Double contrast radiograph of the stomach shows a huge lobulated intraluminal mass on the gastric body. Note its pedicle near the esophagogastric junction. B. Contrast-enhanced computed tomography scan of the upper abdomen shows a huge cystic and solid mass in the gastric body. Note the fat components (arrows) in the mass (-70 HU). C. Photograph of the gross specimen shows a huge polypoid mass arising from the anterior wall of the gastric body attached proximal to the esophagogastric junction by a short pedicle. D. Cut surface of the specimen shows multifocal cystic change with yellowish adipose tissue components. E. Photomicrograph of the specimen shows multiple lobules of fundic and pyloric type gastric glands with cystic change. Note the abundant adipose tissue mixed with glandular components. (Stained with hematoxylin and eosin; magnification ×200)


Reference

1. Ushio K, Sasagawa M, Doi H, Yamada T, Ichikawa H, Hojo K, et al. Lesions associated with familial polyposis coli: studies of lesions of the stomach, duodenum, bones, and teeth. Gastrointest Radiol. 1976; 1:67–80.
2. Calva D, Howe JR. Hamartomatous polyposis syndromes. Surg Clin North Am. 2008; 88:779–817. vii
3. Iida M, Yao T, Watanabe H, Itoh H, Iwashita A. Fundic gland polyposis in patients without familial adenomatosis coli: its incidence and clinical features. Gastroenterology. 1984; 86:1437–1442.
4. Sato T, Sakai Y, Ishiguro S, Fujita M, Kuriyama K, Narumi Y. Gastric hamartomatous polyp without polyposis coli: radiologic diagnosis. Gastrointest Radiol. 1988; 13:19–23.
5. Tatsuta M, Okuda S, Tamura H, Taniguchi H. Gastric hamartomatous polyps in the absence of familial polyposis coli. Cancer. 1980; 45:818–823.
6. Sipponen P, Siurala M. Cystic "hamartomatous" epithelial polyps of the stomach. Acta Hepatogastroenterol (Stuttg). 1978; 25:380–383.
7. Allum WH, Grimley RP, Ashton F. Gastric hamartoma. A rare cause of gastrointestinal bleeding. J R Coll Surg Edinb. 1985; 30:323.
8. Carfagna G, Pilato FP, Bordi C, Barsotti P, Riva C. Solitary polypoid hamartoma of the oxyntic mucosa of the stomach. Pathol Res Pract. 1987; 182:326–330.
9. Siegelman SS, Khouri NF, Scott WW Jr, Leo FP, Hamper UM, Fishman EK, et al. Pulmonary hamartoma: CT findings. Radiology. 1986; 160:313–317.
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