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2010, Volume 26, Number 3, Page(s) 253-256     
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DOI: 10.5146/tjpath.2010.01034
Giant Hyperplastic Polyp in the Stomach
Fazilet Uğur DUMAN1, Semin AYHAN1, Aydın İŞİSAĞ1, İsmail YAMAN2
1Celal Bayar Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, MANİSA, TÜRYİYE
2S.B. Merkez Efendi Devlet Hastanesi, Genel Cerrahi Anabilim Dalı, MANİSA, TÜRKİYE

1Department of Pathology, Celal Bayar University, Faculty of Medicine, MANİSA, TURKEY
2Department of General Surgery, M.H. Merkez Efendi State Hospital, MANİSA, TURKEY

Keywords: Gastric neoplasms, Hyperplastic polyp

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.

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