Does the rice-grain-sized lump formed by gastric ulcer require surgical removal?

Patient's question:

My partner has had a gastric ulcer for nearly two years. At the end of last year, it almost perforated, and they were hospitalized for almost a week to control the condition. Recently, they have been experiencing frequent gastrointestinal discomfort, as well as frequent hematuria and hematemesis. Additionally, their oral ulcers have continued to worsen. During an endoscopy, a rice-grain-sized lump was found in their stomach. What should they do?

Doctor's answer:

A small lump is likely caused by inflammatory fibrosis due to gastritis or gastric ulcer. If the lump shows signs of reduction and a pathological examination confirms it to be a tumor, surgical removal may be recommended. Current treatment primarily focuses on addressing gastric ulcers, usually involving the prescription of proton pump inhibitors. It is advised to consume more starchy foods to nourish the stomach and avoid foods that irritate the stomach, such as spicy, hard, or overly acidic foods. In addition to standard treatment for gastric ulcers, patients should also pay attention to proper care, such as maintaining a light diet and avoiding spicy foods.

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