Korean J Gastrointest Endosc.
2001 Dec;23(6):489-493.
A Case of Gastric Lipomatosis
- Affiliations
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- 1Department of Internal Medicine, Soon Chun Hyang University College of Medicine, Seoul, Korea.
- 2Department of Pathology, Soon Chun Hyang University College of Medicine, Seoul, Korea.
- 3Department of Institute for Digestive Research, Soon Chun Hyang University College of Medicine, Seoul, Korea.
Abstract
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Gastric lipomas are rare benign submucosal tumor, usually solitary, and comprise about 3% of gastric benign tumors. The occurrence of gastric lipomatosis is extremely rare. Although most gastric lipomas are usually detected incidentally, they can cause severe symptoms such as obstruction, invagination, and life-threatening hemorrhage. The diagnosis and differentation from malignant tumors and other submucosal tumors are difficult with conventional diagnostic modalities such as X-ray or endoscopic examination. But endoscopic ultrasonography allows us to visualize the structures underlying the gastrointestinal wall in a noninvasive maneuver, and can contribute to make differential diagnosis and decision of management. The treatment of lipoma is still controversial. We reported a 70-year-old male who had gastric lipomatosis in entire stomach, which could be diagnosed with endoscopic ultrasonography and was proven by endoscopic lumpectomy, pathologically.