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

Okamura,Akihiko; Takahashi,Tsunehiro; Saikawa,Yoshiro; Nakadai,Jumpei; Ono,Taiki; Nakamura,Rieko; Wada,Norihito; Kawakubo,Hirofumi; Takeuchi,Hiroya; Emoto,Katsura; Sasaki,Aya; Kameyama,Kaori; Kitagawa,Yuko

doi:10.3892/ol.2015.4054

February-2016 Volume 11 Issue 2

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February-2016 Volume 11 Issue 2

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Case Report

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

Authors:
- Akihiko Okamura
- Tsunehiro Takahashi
- Yoshiro Saikawa
- Jumpei Nakadai
- Taiki Ono
- Rieko Nakamura
- Norihito Wada
- Hirofumi Kawakubo
- Hiroya Takeuchi
- Katsura Emoto
- Aya Sasaki
- Kaori Kameyama
- Yuko Kitagawa
View Affiliations / Copyright

Affiliations: Department of Surgery, School of Medicine, Keio University, Tokyo 160‑8582, Japan, Division of Diagnostic Pathology, School of Medicine, Keio University, Tokyo 160‑8582, Japan
Pages: 1453-1456
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Published online on: December 24, 2015

https://doi.org/10.3892/ol.2015.4054
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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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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

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

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