Synchronous epithelioid stromal tumour and lipoma in the stomach
N Al-Brahim, J Radhi, J Gately
82-year-old man presented with upper gastrointestinal
bleeding. A polypoid lesion of the distal stomach with
focal ulceration was seen at endoscopy. This was treated
by a partial gastrectomy. The resected stomach contained
two separate tumours near the pylorus: a gastrointestinal
stromal tumour (GIST) and an adjacent lipoma.
The literature includes case reports of synchronously
occurring GIST and adenocarcinoma, GIST and mucosa-associated
lymphoid tissue lymphoma and GIST and carcinoid tumour.
Herein is the first case report of two distinct mesenchymal
tumors coexisting in the stomach.