A case of isolated gastric tuberculosis presenting an appearance of submucosal tumor

Yuki Hirano, Hidetoshi Matsumoto, Koichi Suda, Hiroaki Seki, Nobutaka Yasui, Masahiro Matsuyama, Miho Nitta, Hiroki Ishikawa, Yuukou Kitagawa, Akihiko Shimada

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 54-year-old asymptomatic man diagnosed with submucosal tumor-like isolated gastric tuberculosis was found in an annual barium swallow checkup to have a gastric submucosal tumor. Gastrointestinal fi-berscopy and computed tomography (CT) showed a 3cm submucosal gastric tumor at the greater mid-gastric curvature. The tumor's swift growth to 45 mm in only 4 months and swollen regional lymph nodes necessitated distal gastrectomy with lymphadenectomy due to potential malignancy. Histological examination showed epithelioid granuloma with Langhans giant cells in the resected tumor and lymph nodes. To determine if the man had tuberculosis, we cultured gastric juice and sputum postoperatively, finding only the gastric juice to be positive for Mycobacterium tuberculosis. Given the possibility of remaining tubercular lesions, the man was administered antituberculosis medication for six months postoperatively. He remains alive and recurrence-free in the 3 years since surgery.

Original languageEnglish
Pages (from-to)117-122
Number of pages6
JournalJapanese Journal of Gastroenterological Surgery
Volume44
Issue number2
Publication statusPublished - 2011

Fingerprint

Stomach
Tuberculosis
Neoplasms
Gastric Juice
Langhans Giant Cells
Lymph Nodes
Barium
Gastrectomy
Deglutition
Granuloma
Lymph Node Excision
Sputum
Mycobacterium tuberculosis
Tomography
Recurrence
Growth

Keywords

  • Gastric submucosal tumor
  • Gastric tuberculosis

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

Cite this

Hirano, Y., Matsumoto, H., Suda, K., Seki, H., Yasui, N., Matsuyama, M., ... Shimada, A. (2011). A case of isolated gastric tuberculosis presenting an appearance of submucosal tumor. Japanese Journal of Gastroenterological Surgery, 44(2), 117-122.

A case of isolated gastric tuberculosis presenting an appearance of submucosal tumor. / Hirano, Yuki; Matsumoto, Hidetoshi; Suda, Koichi; Seki, Hiroaki; Yasui, Nobutaka; Matsuyama, Masahiro; Nitta, Miho; Ishikawa, Hiroki; Kitagawa, Yuukou; Shimada, Akihiko.

In: Japanese Journal of Gastroenterological Surgery, Vol. 44, No. 2, 2011, p. 117-122.

Research output: Contribution to journalArticle

Hirano, Y, Matsumoto, H, Suda, K, Seki, H, Yasui, N, Matsuyama, M, Nitta, M, Ishikawa, H, Kitagawa, Y & Shimada, A 2011, 'A case of isolated gastric tuberculosis presenting an appearance of submucosal tumor', Japanese Journal of Gastroenterological Surgery, vol. 44, no. 2, pp. 117-122.
Hirano Y, Matsumoto H, Suda K, Seki H, Yasui N, Matsuyama M et al. A case of isolated gastric tuberculosis presenting an appearance of submucosal tumor. Japanese Journal of Gastroenterological Surgery. 2011;44(2):117-122.
Hirano, Yuki ; Matsumoto, Hidetoshi ; Suda, Koichi ; Seki, Hiroaki ; Yasui, Nobutaka ; Matsuyama, Masahiro ; Nitta, Miho ; Ishikawa, Hiroki ; Kitagawa, Yuukou ; Shimada, Akihiko. / A case of isolated gastric tuberculosis presenting an appearance of submucosal tumor. In: Japanese Journal of Gastroenterological Surgery. 2011 ; Vol. 44, No. 2. pp. 117-122.
@article{a99f472ce8f9489ba0074cdd920f58ec,
title = "A case of isolated gastric tuberculosis presenting an appearance of submucosal tumor",
abstract = "A 54-year-old asymptomatic man diagnosed with submucosal tumor-like isolated gastric tuberculosis was found in an annual barium swallow checkup to have a gastric submucosal tumor. Gastrointestinal fi-berscopy and computed tomography (CT) showed a 3cm submucosal gastric tumor at the greater mid-gastric curvature. The tumor's swift growth to 45 mm in only 4 months and swollen regional lymph nodes necessitated distal gastrectomy with lymphadenectomy due to potential malignancy. Histological examination showed epithelioid granuloma with Langhans giant cells in the resected tumor and lymph nodes. To determine if the man had tuberculosis, we cultured gastric juice and sputum postoperatively, finding only the gastric juice to be positive for Mycobacterium tuberculosis. Given the possibility of remaining tubercular lesions, the man was administered antituberculosis medication for six months postoperatively. He remains alive and recurrence-free in the 3 years since surgery.",
keywords = "Gastric submucosal tumor, Gastric tuberculosis",
author = "Yuki Hirano and Hidetoshi Matsumoto and Koichi Suda and Hiroaki Seki and Nobutaka Yasui and Masahiro Matsuyama and Miho Nitta and Hiroki Ishikawa and Yuukou Kitagawa and Akihiko Shimada",
year = "2011",
language = "English",
volume = "44",
pages = "117--122",
journal = "Japanese Journal of Gastroenterological Surgery",
issn = "0386-9768",
publisher = "Japanese Society of Gastroenterological Surgery",
number = "2",

}

TY - JOUR

T1 - A case of isolated gastric tuberculosis presenting an appearance of submucosal tumor

AU - Hirano, Yuki

AU - Matsumoto, Hidetoshi

AU - Suda, Koichi

AU - Seki, Hiroaki

AU - Yasui, Nobutaka

AU - Matsuyama, Masahiro

AU - Nitta, Miho

AU - Ishikawa, Hiroki

AU - Kitagawa, Yuukou

AU - Shimada, Akihiko

PY - 2011

Y1 - 2011

N2 - A 54-year-old asymptomatic man diagnosed with submucosal tumor-like isolated gastric tuberculosis was found in an annual barium swallow checkup to have a gastric submucosal tumor. Gastrointestinal fi-berscopy and computed tomography (CT) showed a 3cm submucosal gastric tumor at the greater mid-gastric curvature. The tumor's swift growth to 45 mm in only 4 months and swollen regional lymph nodes necessitated distal gastrectomy with lymphadenectomy due to potential malignancy. Histological examination showed epithelioid granuloma with Langhans giant cells in the resected tumor and lymph nodes. To determine if the man had tuberculosis, we cultured gastric juice and sputum postoperatively, finding only the gastric juice to be positive for Mycobacterium tuberculosis. Given the possibility of remaining tubercular lesions, the man was administered antituberculosis medication for six months postoperatively. He remains alive and recurrence-free in the 3 years since surgery.

AB - A 54-year-old asymptomatic man diagnosed with submucosal tumor-like isolated gastric tuberculosis was found in an annual barium swallow checkup to have a gastric submucosal tumor. Gastrointestinal fi-berscopy and computed tomography (CT) showed a 3cm submucosal gastric tumor at the greater mid-gastric curvature. The tumor's swift growth to 45 mm in only 4 months and swollen regional lymph nodes necessitated distal gastrectomy with lymphadenectomy due to potential malignancy. Histological examination showed epithelioid granuloma with Langhans giant cells in the resected tumor and lymph nodes. To determine if the man had tuberculosis, we cultured gastric juice and sputum postoperatively, finding only the gastric juice to be positive for Mycobacterium tuberculosis. Given the possibility of remaining tubercular lesions, the man was administered antituberculosis medication for six months postoperatively. He remains alive and recurrence-free in the 3 years since surgery.

KW - Gastric submucosal tumor

KW - Gastric tuberculosis

UR - http://www.scopus.com/inward/record.url?scp=79955827669&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955827669&partnerID=8YFLogxK

M3 - Article

VL - 44

SP - 117

EP - 122

JO - Japanese Journal of Gastroenterological Surgery

JF - Japanese Journal of Gastroenterological Surgery

SN - 0386-9768

IS - 2

ER -