What is gastric angle xanthelasma

Gastric horn xanthelasma, also known as xanthomas, has common symptoms of yellow-white tumor-like plaques formed in the gastric mucosa. However, it is not a true tumor and is a benign lesion, especially more common in men. It is treated with surgery or dietary adjustment.

1. Gastric xanthelasma is a yellow-white tumor-like plaque formed in the gastric mucosa. It is not a true tumor and has no special clinical symptoms. It is more common in middle-aged and elderly people. Gastroscopy shows small gray-yellow spots on the mucosa, which are often accompanied by other gastric lesions, most commonly chronic atrophic gastritis.

2. Gastric xanthelasma, also known as yellow tumor or lipid island, is a benign lesion. It was first reported by Endo in 1910 and first reported in China in 1977. The pathogenesis of this disease is not yet fully understood. Most authors believe that it is related to chronic gastritis and intestinal epithelialization. This disease is more common in patients over 50 years old, more common in men, and often occurs in the gastric antrum area. The sizes of the tumors vary, usually less than 5 mm. The clinical manifestations are non-specific and resemble chronic gastritis. Gastroscopy examination showed nearly round white or yellowish-white raised plaques on the antrum and lesser curvature shoulders, with clear boundaries, single or multiple, mostly single, and a diameter of 0.2 to 0.6 cm.

3. It is generally believed that gastric xanthelasma is caused by focal destruction of the gastric mucosa due to chronic gastritis. The residual fat-containing debris is phagocytosed by macrophages and aggregated to form foam cell nest structures. All cases in this group showed chronic inflammatory changes in the gastric mucosa to varying degrees. In the past, it was believed that this disease was related to increased blood lipids, but studies in recent years have shown that this disease has nothing to do with hyperlipidemia.

IV. Treatment Recommendations

1. Surgical treatment, clean up the macula, remove the tumor (current surgery uses an electronic fiberscope, which is inserted through the mouth, is painless, does not require surgery, and has the advantages of thorough treatment;

2. Take a pathological biopsy of the removed macula;

3. Treat the symptoms and pay attention to your diet.