Turkish Journal of Pathology

Türk Patoloji Dergisi

Turkish Journal of Pathology

Turkish Journal of Pathology

2010, Vol 26, Num, 3     (Pages: 253-256)

Giant Hyperplastic Polyp in the Stomach

Fazilet Uğur DUMAN 1, Semin AYHAN 1, Aydın İŞİSAĞ 1, İsmail YAMAN 2

1 Celal Bayar Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, MANİSA, TÜRYİYE
2 Department of General Surgery, M.H. Merkez Efendi State Hospital, MANİSA, TURKEY

DOI: 10.5146/tjpath.2010.01034
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Hyperplastic polyps, which account for nearly 75% of all gastric polyps, are generally small (<1 cm), single, sessile, polyps and located in antrum. They are usually asymptomatic. A 77-year-old man was admitted to hospital due to severe fatigue as a consequence of irondeficiency anemia. The upper gastrointestinal endoscopy which was done to discover an etiological factor revealed a papillomatous mass 6 cm in diameter that had a malignant endoscopic appearance. Numerous macroscopic sections were taken since larger gastric polyps (especially those greater than 2 cm in diameter) have a greater risk of malignancy development. No dysplasia was detected on histological and immunohistochemical evaluation and it was therefore diagnosed as a giant hyperplastic polyp in the stomach. The large size of the polyp in the presented case led us to emphasize the importance of searching for dysplasia in such cases.

Keywords : Gastric neoplasms, Hyperplastic polyp