Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
권호 표지
DOI QR코드

DOI QR Code

Gastric Lipomatosis

  • Jeong, In-Ho (Department of Surgery, Jeju National University School of Medicine) ;
  • Maeng, Young-Hee (Department of Pathology, Jeju National University School of Medicine)
  • Received : 2010.09.17
  • Accepted : 2010.11.01
  • Published : 2010.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Gastric lipomatosis is an extremely rare condition. We present a case of a 69-year-old woman admitted with epigastric soreness. Computerized tomography (CT) revealed extrinsically compressing, fat-containing mass lesions on the entire gastric wall of the antrum and body except for the lesser curvature. A subtotal gastrectomy was performed. Pathology findings confirmed a gastric lipomatosis with multiple gastric ulcerations and extensive disruptions of the muscular layers. This case and reports of other gastric lipomatosis cases indicate that CT should be used to characterize large submucosal masses because CT can show the specific nature and extent of the disease. We believe that surgical treatment is the most appropriate treatment for symptomatic gastric lipomatosis that shows extensive gastric involvement, or when there are multiple gastric lipomas.

Keywords

References

  1. Kim HS, Noh SH, Kim CK. Lipomas of gastrointestinal tract. J Korean Surg Soc 1989;36:98-108.
  2. Ferrozzi F, Tognini G, Bova D, Pavone P. Lipomatous tumors of the stomach: CT findings and differential diagnosis. J Comput Assist Tomogr 2000;24:854-858. https://doi.org/10.1097/00004728-200011000-00006
  3. Suarez Moreno RM, Hernandez Ramirez DA, Madrazo Navarro M, Salazar Lozano CR, Martinez Gen R. Multiple intestinal lipomatosis. Case report. Cir Cir 2010;78:163-165.
  4. Peabody JW Jr, Zikind J. Lipomatosis of the stomach; a case report and a review of the literature. Ann Surg 1953;138:784-790. https://doi.org/10.1097/00000658-195311000-00017
  5. Ventura L, Leocata P, Guadagni S, Ventura T. Multiple gastric lipomas: report of an asymptomatic case found at autopsy. Pathol Int 1997;47:575-577. https://doi.org/10.1111/j.1440-1827.1997.tb04543.x
  6. Skinner MS, Broadaway RK, Grossman P, Seckinger D. Multiple gastric lipomas. Dig Dis Sci 1983;28:1147-1149. https://doi.org/10.1007/BF01295816
  7. Deeths TM, Madden PN, Dodds WJ. Multiple lipomas of the stomach and duodenum. Am J Dig Dis 1975;20:771-774. https://doi.org/10.1007/BF01070835
  8. Devlies F, Hoe LV, Leemans A, Ponette E, Paepe ID. Gastroduodenal lipomatosis. Eur Radiol 1997;7:338-340. https://doi.org/10.1007/s003300050163
  9. Fawcett NW, Bolton VL, Geever EF. Multiple Lipomas of the Stomach and Duodenum. Ann Surg 1949;129:524-527. https://doi.org/10.1097/00000658-194904000-00012
  10. Weinberg T, Feldman M. Lipomas of the gastrointestinal tract. Am J Clin Pathol 1955;25:272-281. https://doi.org/10.1093/ajcp/25.3.272
  11. Cabaud PG, Harris LT. Lipomatosis of the ileocecal valve. Ann Surg 1959;150:1092-1098. https://doi.org/10.1097/00000658-195912000-00018
  12. Th ompson WM, Kende AI, Levy AD. Imaging characteristics of gastric lipomas in 16 adult and pediatric patients. AJR Am J Roentgenol 2003;181:981-985. https://doi.org/10.2214/ajr.181.4.1810981
  13. Siegal A, Witz M. Gastrointestinal lipoma and malignancies. J Surg Oncol 1991;47:170-174. https://doi.org/10.1002/jso.2930470307
  14. The Information Committee of the Korean Gastric Cancer Association. 2005-2006 nationwide gastric submucosal tumor report in Korea. J Korean Gastric Cancer Assoc 2008;8:104-111. https://doi.org/10.5230/jkgca.2008.8.2.104

Cited by

  1. Diffuse Intestinal Submucosal Lipomatosis with Incidental Epidermal Inclusion Cyst of Caecum Clinically Masquerading as Carcinoma Caecum vol.6, pp.3, 2010, https://doi.org/10.4081/rt.2014.5380
  2. Familial Abdominal and Intestinal Lipomatosis Presenting with Upper GI Bleeding vol.2015, pp.None, 2010, https://doi.org/10.1155/2015/123723
  3. A case of gastroduodenal lipomatosis vol.98, pp.8, 2016, https://doi.org/10.1308/rcsann.2016.0243
  4. Gastric lipomatosis treated by total gastrectomy: a case report vol.3, pp.None, 2010, https://doi.org/10.1186/s40792-017-0404-1
  5. Gastric lipomatosis vol.31, pp.4, 2010, https://doi.org/10.1515/cipms-2018-0040
  6. Incidental diagnosis of breast cancer in the pursuit of the treatment of intestinal obstruction vol.9, pp.1, 2010, https://doi.org/10.4322/acr.2018.071
  7. Gastric lipomas: a case series and review of a rare tumor vol.5, pp.2, 2010, https://doi.org/10.1259/bjrcr.20180109
  8. Gastric Lipohyperplasia Presenting as Gastric Polyposis: the First Case Report and Morphometric Study of Additional 127 Bariatric Specimens with a Proposal for Diagnostic Criteria vol.29, pp.6, 2010, https://doi.org/10.1007/s11695-019-03740-8
  9. Jejuno-jejunal intussusception secondary to diffuse intestinal lipomatosis vol.2019, pp.11, 2010, https://doi.org/10.1093/jscr/rjz354
  10. Lipomatosis Gástrica : Reporte de un caso vol.35, pp.2, 2010, https://doi.org/10.22516/25007440.390
  11. Lipomatosis Gástrica : Reporte de un caso vol.35, pp.2, 2010, https://doi.org/10.22516/25007440.390
  12. Diffuse small bowel lipomatosis with intussusception vol.14, pp.6, 2010, https://doi.org/10.1136/bcr-2021-242336