[The problem of glandular cysts of the stomach and colonic adenomas]

The difference between glandular cysts of gastric mucosa and submucosal gastric cysts is explained with regard to the pathogenesis. With the help of relevant literature and our own case studies (1096 gastroscopies in a year), examination is made of the connection between glandular cysts of gastric mucosa and adenomas of colon. We found glandular cysts of gastric mucosa in 5 cases, 4 of which were evaluated as to adenomas of colon. Of these 4 patients 2 had adenomas and carcinomas of colon. One of these patients had probably had a familial adenomatosis coli. Medical journals show that glandular cysts of gastric mucosa are often found in cases of familial adenomatosis coli. However, as a result of our own few cases and relevant literature, the conclusion cannot be drawn that an accumulation of adenomas of colon exists in cases of glandular cysts of gastric mucosa. A histological diagnosis of glandular cysts of gastric mucosa should nevertheless prompt a search for adenomas of colon. Our case study could justify such diagnostic action.