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January 16, 1967

Gastric Polyps Followed 20 Years

Author Affiliations

From the weekly X-ray Seminar, Department of Radiology, Massachusetts General Hospital, Boston.

JAMA. 1967;199(3):207-209. doi:10.1001/jama.1967.03120030111021

Dr. Jack Wittenberg: This 82-year-old woman was admitted because of rectal bleeding. She had been seen intermittently in this hospital since 1946. At that time an upper gastrointestinal tract study was performed to evaluate epigastric pain (Fig 1). Her hematocrit reading at that time was normal.

Discussion  Dr. Laurence L. Robbins: Dr. Hanelin, do you have any comments?Dr. Joseph Hanelin: There appear to be multiple gastric polyps, especially in the lower half of the stomach. I think that these are benign. Malignancy is rather frequently associated with these lesions, although an entirely benign course is possible.Dr. Robbins: Do you think these patients should be kept under observation?Dr. Hanelin: In general, I think the initial approach is that of a local resection of the area of involvement, especially if there are symptoms or suspicious areas by x-ray or endoscopy. In any event, these patients should certainly be examined