1993 Volume 42 Pages 202-205
The patient was a 54-year-old male. A filling defect was pointed out on the occasion of regular health examination in 1989.
In 1991 he was seen to have calcification in the stomach at X-ray and was admitted to our University Hospital for a workup on December 2, 1991. Endoscopic examination revealed a submucosal tumor, 3 to 4mm in diameter, with bridging fold in the upper greater curvature of the stomach. The tumor looked cystic and soft. Since the tumor had a delle on its surface, aspiration cytodiagnosis was performed, but was negative for any signs of malignancy.
However, since the tumor tended to grow, the patient was operated on at the Second Department of Surgery of our University Hospital in May 1992. The submucosal tumor was, in part, cystic, and was found to retain fluid matter. Biochemistry studies indicated that amylase was elevated to 15,990 IU. The patient was histologically diagnosed with large aberrant pancreas with calcification.
This case seems to be of histopathological interest, though a rather rare occurrence.
