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A 50-year-old black woman presented with episodes of upper gastric distress and abdominal bloating and distention after eating. Physical examination and laboratory tests were generally unremarkable except for an obese abdomen. Gastroscopy revealed a hard mass on the greater curvature of the stomach. Benign tumors of the stomach are uncommon but represent 10-15% of stomach neoplasms, with peak incidence in those aged 50-60 years. Types include polyps, adenomas, and pancreatic rests. Definitive diagnosis requires removal of the mass, so it was decided to operate to remove the tumor.
A 50-year-old black woman presented with episodes of upper gastric distress and abdominal bloating and distention after eating. Physical examination and laboratory tests were generally unremarkable except for an obese abdomen. Gastroscopy revealed a hard mass on the greater curvature of the stomach. Benign tumors of the stomach are uncommon but represent 10-15% of stomach neoplasms, with peak incidence in those aged 50-60 years. Types include polyps, adenomas, and pancreatic rests. Definitive diagnosis requires removal of the mass, so it was decided to operate to remove the tumor.
A 50-year-old black woman presented with episodes of upper gastric distress and abdominal bloating and distention after eating. Physical examination and laboratory tests were generally unremarkable except for an obese abdomen. Gastroscopy revealed a hard mass on the greater curvature of the stomach. Benign tumors of the stomach are uncommon but represent 10-15% of stomach neoplasms, with peak incidence in those aged 50-60 years. Types include polyps, adenomas, and pancreatic rests. Definitive diagnosis requires removal of the mass, so it was decided to operate to remove the tumor.
CHIEF COMPLAINT: The patient is a 50-year-old black woman present with four to six weeks history of episodes of post perennial upper gastric distress. She had been taking large doses of Salicylates for the relief of hyperemic symptoms. She experienced upper abdominal bloating and distention after eating even small amounts of food. She complaints poor relationships to the type of food she ate, there was no fatty or fried food in colors and what occur shortly after eating. There was no dysphagia, polynausea, polyvomiting, polyhemoptysis or visible melena. X-rays revealed a normal cholecystogram. The x-rays of the upper gastrointestinal tract reveal a rounded radiolucent filling defect on the greater curvature of the prepyloric and proportions of the stomach. She was admitted to the hospital for further study. PHYSICAL EXAMINATION: The Physical examination was generally unremarkable except for an obese protruding abdomen. There were no abdominal masses, tenderness or organomegaly. LABORATORY STUDIES: Reveal a normal hemogram and near analysis, normal electrolytes, normal SMA12 chemical profile. Stool showed traces of occult blood. Histolax stimulated gastric analysis revealed fasting free Hcl 40 mEq/L; fifteen minutes75 mEq/L; Senicholine, thirty minutes-70 mEq/L; Senicholine, forty-five minutes-55 mEq/L. Senicholine, sixty minutes-53 mEq/L. Gastric cytology revealing no tumor cells. Gastroscopy was performed and supported critical impression, which was that having a hard mass on the greater curvature aspect of the stomach, that was decided to operate. PREOPERATIVE DISCUSSION: Benign tumors at the stomach are uncommon. They represent 10 to 15% neoplasms of the stomach. Any moment appeared to be equally affected with peak incidence of 50 to 60 years of age. Pathologically, the following types of tumors are observed; solitary and multiple polyps, adenomas, multiple polyposis, leiomyoma, neuroma. A displaced islet of heterotophic pancreas also may present as a tumor. Pancreatic rests are most commonly located along the greater curvature of the antrum. The definite diagnosis can not be made by x-ray examination alone because these small filling defects may resemble those produced by other benign tumors or even by an early carcinoma. The clinical behavior of benign gastric neoplasm depends on their size, location, tendency to ulcerate, bleed, obstruct or undergo change. But upper gastric discomfort may occur in some patients whereas others may experience ulcer-like symptoms or the syndrome of pyloric obstruction if the growth is near the pylorus. In this case, pressure spot films of the suspicious area noted on fluoroscopy clearly demonstrated the tumor. CONCLUSION: It is decided to operate to remove the tumor.