PATHOLOGICAL-STUDY OF 86 GASTRIC ADENOMAS

Aim. To analyze the clinical presentation, pathological aspect and tre atment of gastric adenomas. Patients and methods: Retrospective analys is of 75 patients aged 26 to 88 years in whom a gastric adenoma was di agnosed. Result: Seventy one patients had elevated endoscopical lesion s and two had depressed or flat lesions. Ninety percent of lesions wer e located in the gastric antrum. Pathological study detected 6 focal c arcinomas within the adenomas and 5 concomitant carcinomas located els ewhere in the stomach. Fifty four patients were subjected to endoscopi cal resection. Among patients with focal carcinomas, a gastrectomy was performed in four and endoscopical resection in two. Conclusions: Gas tric adenomas must be considered in the differential diagnosis of gast ric elevated lesions and may be confused in early gastric cancer. Ther e is a histological resemblance between adenomas and gastric dysplasia described by several authors though only in our cases and in the Japo nese literature the adenoma is referred to as mostly a polypoid sessil e lesion.