Korean J Helicobacter Up Gastrointest Res.  2018 Sep;18(3):198-203. 10.7704/kjhugr.2018.18.3.198.

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

• Kim TW
• Kim TH
• Kim CW
• Chang JH
• Han SW
• Kim JK

• KMID: 2439830
• DOI: http://doi.org/10.7704/kjhugr.2018.18.3.198

Abstract

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

Keyword

Endoscopic resection; Subepithelial tumor; Xanthogranulomatous gastritis

MeSH Terms

Diagnosis
Diagnosis, Differential
Female
Follow-Up Studies
Gastritis*
Humans
Lymph Nodes
Middle Aged
Recurrence
Ultrasonography