A CASE OF JUVENILE POLYPOSIS LOCALIZED IN THE STOMACH ACCOMPANIED BY GASTRIC CANCER

Abstract

A 36-year-old female was admitted to our hospital because of epigastric pain. Upper GI series and gastric endoscopic examination revealed multiple small polyposd lesions in the fundic gland area and a big semi-pedunculated polyp which was 60mm in diameter in the fornix. Histological findings of the biopsy specimens from the big polyp was suspicious of gastric adenoma. Total gastrectomy was performed. Histological findings of these small polyps and the big polyp revealed juvenile polyposis of the stomach. We also found a well differentiated adenocarcinoma invading the top of the big juvenile polyp. This case is the 6th of juvenile polyposis localized in the stomach in Japan.