Giant hyperplastic gastric polyp: A diagnostic dilemma!!
Gastric hyperplastic polyps (GHP) account for a majority of benign gastric polyps. Most of the GHPs are <2 cm, asymptomatic, and incidentally detected on endoscopy or radiologically. With increasing size, these polyps manifest as upper gastrointestinal bleeding, iron deficiency anemia, and gastri...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Indian Journal of Pathology and Microbiology |
| Subjects: | |
| Online Access: | http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=4;spage=914;epage=917;aulast=Jain |
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| author | Ashish Jain Dimple Chaudhary Surbhi Goyal Anil K Agarwal Puja Sakhuja |
| author_facet | Ashish Jain Dimple Chaudhary Surbhi Goyal Anil K Agarwal Puja Sakhuja |
| author_sort | Ashish Jain |
| collection | DOAJ |
| description | Gastric hyperplastic polyps (GHP) account for a majority of benign gastric polyps. Most of the GHPs are <2 cm, asymptomatic, and incidentally detected on endoscopy or radiologically. With increasing size, these polyps manifest as upper gastrointestinal bleeding, iron deficiency anemia, and gastric outlet obstruction (GOO). We report an unusual case of giant GHP simulating gastric carcinoma and posing as a diagnostic challenge for the surgeons emphasizing the diagnostic role of histopathology. A 46-year-old female presented with clinical features of progressive GOO for 1 year. Endoscopy revealed an eccentric proliferative lesion in the antrum. Computed tomography showed a polypoidal, enhancing mural thickening involving distal body and antro-pyloric region measuring 8.4 cm × 6.6 cm × 1.8 cm. Subtotal gastrectomy was done in view of clinical features of GOO and having a clinical suspicion of malignancy. Gross examination showed a giant sessile hyperplastic polyp with lobulated surface. Microscopy revealed features of a large, sessile hyperplastic polyp without any evidence of dysplasia. The patient was symptomatically relieved and is on follow-up. To conclude, giant GHPs can mimic gastric carcinoma on endoscopy and radiology. The possibility of giant GHP should be kept in mind in the presence of an intensely contrast-enhancing polypoidal lesion in the gastric antrum. Long-term endoscopic follow-up is recommended. |
| first_indexed | 2024-04-11T01:30:20Z |
| format | Article |
| id | doaj.art-572735f6b74b43d3a88c0f8b063a7f11 |
| institution | Directory Open Access Journal |
| issn | 0377-4929 |
| language | English |
| last_indexed | 2024-04-11T01:30:20Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Pathology and Microbiology |
| spelling | doaj.art-572735f6b74b43d3a88c0f8b063a7f112023-01-03T09:56:32ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292022-01-0165491491710.4103/ijpm.ijpm_136_21Giant hyperplastic gastric polyp: A diagnostic dilemma!!Ashish JainDimple ChaudharySurbhi GoyalAnil K AgarwalPuja SakhujaGastric hyperplastic polyps (GHP) account for a majority of benign gastric polyps. Most of the GHPs are <2 cm, asymptomatic, and incidentally detected on endoscopy or radiologically. With increasing size, these polyps manifest as upper gastrointestinal bleeding, iron deficiency anemia, and gastric outlet obstruction (GOO). We report an unusual case of giant GHP simulating gastric carcinoma and posing as a diagnostic challenge for the surgeons emphasizing the diagnostic role of histopathology. A 46-year-old female presented with clinical features of progressive GOO for 1 year. Endoscopy revealed an eccentric proliferative lesion in the antrum. Computed tomography showed a polypoidal, enhancing mural thickening involving distal body and antro-pyloric region measuring 8.4 cm × 6.6 cm × 1.8 cm. Subtotal gastrectomy was done in view of clinical features of GOO and having a clinical suspicion of malignancy. Gross examination showed a giant sessile hyperplastic polyp with lobulated surface. Microscopy revealed features of a large, sessile hyperplastic polyp without any evidence of dysplasia. The patient was symptomatically relieved and is on follow-up. To conclude, giant GHPs can mimic gastric carcinoma on endoscopy and radiology. The possibility of giant GHP should be kept in mind in the presence of an intensely contrast-enhancing polypoidal lesion in the gastric antrum. Long-term endoscopic follow-up is recommended.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=4;spage=914;epage=917;aulast=Jaindysplasiagastric polyphyperplastic polyp |
| spellingShingle | Ashish Jain Dimple Chaudhary Surbhi Goyal Anil K Agarwal Puja Sakhuja Giant hyperplastic gastric polyp: A diagnostic dilemma!! Indian Journal of Pathology and Microbiology dysplasia gastric polyp hyperplastic polyp |
| title | Giant hyperplastic gastric polyp: A diagnostic dilemma!! |
| title_full | Giant hyperplastic gastric polyp: A diagnostic dilemma!! |
| title_fullStr | Giant hyperplastic gastric polyp: A diagnostic dilemma!! |
| title_full_unstemmed | Giant hyperplastic gastric polyp: A diagnostic dilemma!! |
| title_short | Giant hyperplastic gastric polyp: A diagnostic dilemma!! |
| title_sort | giant hyperplastic gastric polyp a diagnostic dilemma |
| topic | dysplasia gastric polyp hyperplastic polyp |
| url | http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=4;spage=914;epage=917;aulast=Jain |
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