AUTHOR=Lin Wulian , Wu Cuiling , Xu Guilin , Yi Gaocheng , Zhang Guanpo , Li Haitao , Zheng Jin , Li Dazhou , Wang Wen TITLE=Multiple gastric tumors in patients with combined autoimmune and helicobacter pylori-associated gastritis: a case report and literature review JOURNAL=Frontiers in Immunology VOLUME=Volume 16 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2025.1562853 DOI=10.3389/fimmu.2025.1562853 ISSN=1664-3224 ABSTRACT=This paper presents four cases of autoimmune gastritis coexisting with Helicobacter pylori- associated gastritis, all of which developed gastric tumors, with some cases exhibiting multiple histological origins. Through a narrative literature review, we explore the potential mechanisms and clinical implications of tumor development in this context. This report emphasizes the significance of recognizing synergistic mucosal injury in chronic gastritis management and highlights the need for future studies into combined pathogenesis.