Spontaneous Disappearance Of Gastric Polyps: Report Of Four Cases
American Journal of Roentgenology 129(5): Nov 1977; 893-897
View Original Source →Abstract
Three cases are reported in which multiple sessile polyps of the stomach disappeared spontaneously during the follow-up period from 9 to 34 months. All of the patients were middle-aged females, and the distribution of the polyps was limited to the portion of the stomach with fundic glands. Histologic examination revealed simple hyperplasia of the fundic glands with microcysts. The macroscopic and histologic pictures were the same as the gastric lesions (“fundic gland polyposis”) found in cases with familial adenomatosis coli; however, colonic polyposis was not observed in our cases. The possible cause of the spontaneous disappearance of the polyps was discussed.
Case Details
Personal Characteristics
A 51-year-old woman (m.f. 274429)
Clinical Characteristics
A hemispherical polyp 0.8 centimeters in diameter was found in the gastric antrum. Stools positive for occult blood.
Remission Characteristics
This polyp could not be detected 4 years later after an upper gastrointestinal series and gastroscopy. The gastric mucosa at the polyp site was normal.
Treatment & Mechanisms
Proposed Remission Mechanisms
Not discussed
Clinical Treatment
Upper gastrointestinal examination, gastroscopy
Additional Notes
During follow up radiologic observations of 88 subjects with benign gastric polyps, four rare cases were encountered. In two of these, the polyps had become detached; in the other two, they decreased in size. One of the latter eventually disappeared. Possible causes, though not yet established, are considered. These four cases are discussed in light of earlier reports in the literature.