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Lymphoid Hyperplasia of the Stomach

Radiographic Findings in Five Adult Patients

¹ Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104.
² Department of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104.
³ Department of Pathology and Laboratory Medicine, Presbyterian Medical Center, 51 N. 39th St., Philadelphia, PA 19104.
⁴ Department of Medicine, Presbyterian Medical Center, Philadelphia, PA 19104.
⁵ Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104.

OBJECTIVE. The purpose of our study was to report the radiographic findings of biopsyproven lymphoid hyperplasia of the stomach in five adult patients.

CONCLUSION. Lymphoid hyperplasia of the stomach is characterized by distinctive findings on double-contrast upper gastrointestinal tract barium examinations; all five patients had innumerable tiny (1-3 mm in diameter) round frequently umbilicated nodules that carpeted the mucosa of the gastric antrum or antrum and body. Three of these five patients had associated Helicobacter pylori gastritis. The diagnosis of gastric lymphoid hyperplasia, therefore, can be suggested on the basis of the radiographic findings.

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