AI Article Synopsis

  • Villous tumors of the stomach are rare, with only about 100 cases documented, and they have a high risk of malignant transformation (up to 72%).
  • These tumors often occur multiple times and can be associated with other gastrointestinal cancers, including an independent gastric carcinoma in 30% of cases.
  • A case study highlights a 64-year-old man with significant symptoms, where imaging and biopsy confirmed a gastric villous tumor that had undergone carcinomatous changes.

Article Abstract

Villous tumors of the stomach are somewhat rare with approximately 100 cases only reported in the literatures and have tendency to undergo malignant transformation as high as 72%. They are frequently multiple and associated with other gastrointestinal neoplasm. Thirty percent of them are associated with an independent gastric carcinoma. Gastric villous tumor has certain radiologic characteristics that may permit a preoperative diagnosis and also some distinctive clinicopathologic features which make early diagnosis and proper treatment possible. We experienced a 64-year-old man who complained of prolonged general weakness, weight loss for several months and left upper quadrant pain for four days. Esophagogastroduodenoscopy and barium study of upper gastrointestinal tract demonstrated typical, irregular, frond-like surfaced villous tumor occupying nearly whole gastric lumen and located eccentrically along the lesser curvature side. Endoscopic biopsy of the tumor revealed a gastric villous tumor with carcinomatous change.

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