Epstein-Barr virus-associated gastric ulcer mimicking gastric neoplasia: a case report

Adrian Catinean, Radu Motocu, Bogdan Fetica, Anita Mezei

Abstract


We describe a rare case of a severe gastric ulcer of a 66-year-old immunocompetent man who was associated with primary Epstein-Barr virus (EBV) infection and temporarily misdiagnosed with gastric lymphoma. A contrast-enhanced computed tomography (CT-scan) of the thorax, abdomen and pelvis followed by EUS revealed a neoplastic infiltrative-ulcerative semicircumferential
gastric mass and a 1 cm large satellite adenopathy, being classified as T3N1M0 gastric neoplasia. The histological analysis of the ¾ distal stomach and lymph node sthat were resected contradicted the initial biopsy report, suggesting EBV gastric ulcer, etiology confirmed by the in situ hybridization technique.


Keywords


endoscopic ultrasound; gastric neoplasia; Epstein-Barr virus

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DOI: http://dx.doi.org/10.11152/mu-1560

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