Abstract
A 59-year-old man with angina was admitted. In the process of examination of the cardiovascular system, he was found to have severe anemia. Further examination of the gastrointestinal tract to determine the cause of the anemia revealed two serious lesions: advanced transverse colon cancer with liver metastases and a gastric polypoid lesion diagnosed as hypertrophic gastritis. Because the gastric lesion was diagnosed as malignant lymphoma intraoperatively, “en bloc” resection of the stomach and transverse colon was performed with lymph node dissection and partial resection of the liver metastases. The resected gastric lesion was diagnosed histologically as “gastritis cystica profunda (GCP)” postoperatively, a lesion is rarely found in the stomach in the absence of a history of surgical resection. Since GCP is a benign lesion, a method of accurate diagnosis has to be established to avoid unnecessary resection.