Eosinophilic granuloma of the stomach mimicking gastric cancer, report of a case

We report a rare case of eosinophilic granuloma of the stomach mimicking ga stric cancer. A 49-year-old man was admitted to our hospital to undergo sur gery for gastric tumor. Radiologic and endoscopic examination showed a prot ruding tumor with a deep ulcer at the anterior wall of the pylorus. Althoug h malignant cells were not histologically confirmed in the biopsy specimens , subtotal gastrectomy with phadenectomy was performed because gastric canc er was strongly suspected. The gross appearance of the tumor seemed to be t hat of a gastric cancer, but the histological diagnosis was eosinophilic gr anuloma. If submucosal tumor of the stomach is suspected, eosinophilic gran uloma should be considered as one of the differential diagnoses. Endoscopic removal of the tumor may be useful to make a precise diagnosis before surg ery.