Dr. Donald L. Stone:
This upper-gastrointestinal series is that of a 46-year-old white woman who had experienced some occasional epigastric discomfort for one year, and more recently had been noted to be somewhat pale. She had lost 5 lb (2.3 kg) over the two months prior to this examination. Laboratory data included a guaiac test of the stool which was 2 + and a hemoglobin level of 10.2 gm/100 cc.
Dr. Laurence L. Robbins:
Is the fluoroscopist here?
Dr. Willard Perry:
I examined this patient and found a large radiolucent filling defect in the antral portion of the stomach (Fig 1, left). It seemed to vary in size and shape with peristaltic activity (Fig 1, right). It appeared to be on a stalk, but it did not prolapse into the duodenum. I thought a gastric polyp was the most likely diagnosis, although I also suggested a lipoma because of the
Seltzer RA. Polypoid Mass in the Stomach. JAMA. 1965;194(12):1314–1315. doi:10.1001/jama.1965.03090250048014