The patient underwent an uneventful recovery and is doing well today. Two years have since passed since his surgery and no further bleeding or evidence of lipoma recurrence has been detected. The discovery of a gastric tumor carries a worrisome prognosis. Several useful endoscopic findings have been reported to be positive predictors for the presence of a benign gastric lesion. Incisional biopsy may be performed for very large tumors.
Histological diagnosis is essential in either case to rule out malignant lesions.
Due to the benign nature of this lesion an extensive surgical procedure such as an extended gastrectomy is not necessary. In our patient, surgical excision was necessary for definitive diagnosis and treatment of his bleeding ulceratous lesion. References 1 . Alberti D, Grazioli L, Orizio P, et al. Wee A, et al.