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A 65-year-old woman was referred to our hospital for evaluation of a gastric lesion initially diagnosed by medical check-up. She showed an unremarkable medical history, family history and physical examination, and no significant abnormalities on laboratory findings, including serum carcinoembryonic antigen and cancer antigen 19-9 levels. Oesophagogastroduodenoscopy revealed a slightly elevated lesion with a central, irregular depression in the greater curvature side of the middle third of the stomach (figure 1). Double-contrast upper gastrointestinal imaging showed a filling defect with central collection of barium measuring 2.0 cm with a clear margin and irregular boundary in the middle part of the stomach. Abdominal contrast-enhanced CT revealed no evidence of gastric mass, hepatic lesions or ascites, while chest X-ray and 18F-2-deoxy-2-fluoro-D-glucose positron emission …
Contributors TN was involved in patient management, drafted the manuscript and is the corresponding author. MK and KH critically reviewed the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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