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Localised superficial gastric lesion in a middle-aged woman
  1. Tsutomu Namikawa,
  2. Michiya Kobayashi,
  3. Kazuhiro Hanazaki
  1. Department of Surgery, Kochi Medical School, Nankoku, Japan
  1. Correspondence to Dr Tsutomu Namikawa, Department of Surgery, Kochi Medical School, Nankoku 783-8505, Japan; tsutomun{at}

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Clinical presentation

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 …

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  • 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.