Stelzner S, Freitag M, Roitzsch E, Jacobasch L, Erk J-U, Ludwig K
Krankenhaus Dresden-Friedrichstadt, Städtisches Klinikum, Klinik für Allgemein- und Abdominalchirurgie, Dresden.
Chirurg. 2003 Jan;74(1):65-8. doi: 10.1007/s00104-002-0556-8.
Glomus tumours are benign neoplasms that usually arise in the skin of the extremities but have infrequently been found to occur in other sites including the stomach. We report on a 71-year-old female with non-specific epigastric pain who was diagnosed as having a small, intramural gastric tumour in addition to a cholecystolithiasis. Intraoperatively, the tumour was investigated by frozen section, but the diagnosis remained inconclusive. The ultimate histological examination showed clusters of uniform epithelioid cells surrounding wide vascular spaces. This led to the diagnosis of a glomus tumour. In a review of the recent literature,we discuss the methods and limitations of preoperative diagnostic measures.
血管球瘤是一种良性肿瘤,通常发生于四肢皮肤,但很少见于包括胃在内的其他部位。我们报告了一名71岁女性,她有非特异性上腹部疼痛,除胆囊结石外,还被诊断为胃壁内小肿瘤。术中,通过冰冻切片对肿瘤进行了检查,但诊断仍不明确。最终的组织学检查显示,在宽大的血管间隙周围有成群的均匀上皮样细胞。这导致了血管球瘤的诊断。在回顾近期文献时,我们讨论了术前诊断措施的方法和局限性。