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Giant Hyperplastic Polyps in the Stomach

Radiographic Findings in Seven Patients

Ravi Cherukuri1,2, Marc S. Levine1, Emma E. Furth3, Stephen E. Rubesin1 and Igor Laufer1

1 Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104.
2 Present address: Department of Radiology, University of Pittsburgh Medical Center, 200 Lothrop St., Pittsburgh, PA 15213.
3 Department of Pathology and Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104.



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  		Fig. 1. —65-year-old woman with upper gastrointestinal bleeding. Double-contrast radiograph of stomach shows 3.5-cm multilobulated mass (arrows) on greater curvature of antrum. Note trapping of barium in interstices of giant hyperplastic polyp.

 


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  		Fig. 2. —77-year-old woman with anorexia and weight loss. Double-contrast radiograph of stomach shows 10-cm polypoid lesion involving gastric antrum and body. Note how multiple lobulated components form conglomerate mass (large arrows). Also note small rounded polyps (small arrows) located more proximally in stomach.

 


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  		Fig. 3. —71-year-old woman with upper gastrointestinal bleeding. Double-contrast radiograph of duodenal bulb shows 5-cm multilobulated mass (arrows) at base of duodenal bulb caused by giant hyperplastic polyp that prolapsed through pylorus.

 


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  		Fig. 4. —68-year-old man with dyspepsia. Double-contrast radiograph of stomach shows 3.5-cm slightly lobulated mass (arrows) in gastric antrum. This was the only giant hyperplastic polyp in our series that was not markedly lobulated.

 

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