A case of gastric xanthogranuloma associated with early gastric cancer

Abstract

A 67-year-old man complaining of epigastric pain was referred for evaluation. Upper gastrointestinal endoscopy and CT revealed two extraluminal tumors in the posterior wall of the gastric body. Both of the lesions were remarkably reduced two months after the evaluation, but early gastric cancer was diagnosed on the mucosal side of the gastric body at that time. The patient underwent a distal gastrectomy, with resection of both of the extraluminal tumors. The posterior wall of the stomach was thickened and had a yellowish tumor which was diagnosed as xanthogranuloma. We report this very rare case of synchronous xanthogranuloma and gastric carcinoma.