Korean J Med.  2004 Jul;67(1):78-82.

A case of gastritis cystica profunda with early gastric cancer

• Jo MA
• Kim SH
• Kim SH
• Choi SL
• Lee JS
• Choi SH
• Park HS

Abstract

We report a rare case of adenocarcinoma with multiple gastritis cystica profunda that develope in a 56-year-old man. We found early gastric cancer at the gastric angle. And some cystic lesion was present at lesser curvature of the body. Gastrectomy was performed for confirmation and treatment. Gastritis cystica profunda (GCP) is usually characterized by multiple cystic mass in the mucosa and submucosa of the stomach. It is rare disease which is mainly found at the stoma site of gastroenterostomy. Occasionally GCP develops in the stomach without previous history of surgery. Most common feature of GCP is sessile polypoid protrusion but, submucosal tumor, giant gastric mucosal fold and pedunculated mass are found. Some evidence suggests that downward adenocystic proliferation of glands is a dysplastic or precancerous change. But we know that these submucosal cystic lesion may not be precancerous. Thus cystic mass must be distinguished from Menetrier's disease, Zollinger-Eillison's syndrome, and other malignancy.

Keyword

Gastritis cystica profunda; Stomach neoplasms; Gastritis; Polyp

MeSH Terms

Adenocarcinoma
Gastrectomy
Gastritis*
Gastritis, Hypertrophic
Gastroenterostomy
Humans
Middle Aged
Mucous Membrane
Polyps
Rare Diseases
Stomach
Stomach Neoplasms*