Candida-associated gastric ulcer relapsing in a different position with a different appearance

Figure 1 Endoscopic photograph showing the deep ulcer with the submucosal tumor-like margin on the greater curvature of the upper gastric body.

Figure 2 Biopsy demonstrated no malignancy but numerous hyphae. A: Light micrograph of the specimen biopsied from the original ulcer demonstrating hyphae in the ulcer slough [Periodic acid-Schiff (PAS)/diastase, original magnification × 400]; B: Biopsy from the recurrent ulcer illustrating hyphae of Candida on the ulcer edge (PAS/diastase, original magnification × 400).

Figure 3 Endoscopic photographs. A: The white scar of the original ulcer; B: The recurrent ulcer on the lesser curvature of the lower gastric body; C: The red scar of the recurrent ulcer; D: The transition from the red to white scar in 3 mo.