Abstract
Gastric papillary adenoma is rarely encountered and is usually an incidental finding in daily clinical practice. Most patients with such a tumor are asymptomatic, but should be closely followed up because of the risk of malignant transformation. Gastric adenoma is usually small, and it is exceptionally rare that a giant gastric adenoma causes gastric outlet obstruction. We describe an 84-year-old woman who presented with progressive dysphagia for half a month. An image study revealed a large gastric tumor measuring 12×10×8 cm in size. Partial gastrectomy was performed and pathological examination showed a papillary adenoma. In conclusion, accurate diagnosis and a careful treatment plan are important in the management of gastric outlet obstruction caused by gastric adenoma.
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