Gastric xanthoma itself has no cancerous potential, but gastric xanthoma is a high-risk factor for the development of gastric cancer. Gastric xanthoma usually occurs in elderly patients and is mainly caused by the deposition of lipids. It usually does not have any clinical symptoms and is usually detected through endoscopy. Gastric xanthoma may cause tissue hyperplasia and other tissue lesions, which may induce gastric cancer, and should be removed as early as possible, and most of the patients can be removed at once by gastroscopic biopsy. Most patients can be removed at once by gastroscopic biopsy. It is recommended that patients with gastric xanthoma go to regular hospitals and receive standardized treatment under the guidance of doctors.