1984 Volume 26 Issue 11 Pages 1969-1973_1
A 66-year-old man had suffered from dizziness for 6 months before he was admitted to our hospital. In addition, he noticed tarry stools a month ago, for which he visited our hospital for a detailed examination. An UGI series revealed a giant, semispherical raised lesion with a broad base, locating from the body to the cardia. Endoscopic examination also showed a large raised lesion, white-yellow in color, associated with bleeding. Biopsy could not make a difinitive diagnosis. A total gastrectomy was performed because of persiteint bleeding. The resected specimen revealed a tumor of 14 x 10cm in size, with the cut surface showing segmentation of the inner side. Histologically, the diagnosis of fibrous xanthoma was established. Fibrous xanthoma of the stomach is an extremely rare disease. To our knowledge, only 6 cases have been reported since 1949 in the world. This was the second case in Japan.
