Zissis D, Zizi-Serbetzoglou A, Glava C, Grammatoglou X, Katsamagkou E, Nikolaidou M E, Vasilakaki T
Department of Gastroenterology, "Tzaneion" General Hospital, Piraeus, Greece.
J BUON. 2008 Oct-Dec;13(4):581-4.
Glomus tumors are relatively uncommon benign neoplasms, most common in the skin and subcutaneous tissue, but can also occur in the viscera, most often in the stomach. Preoperative diagnosis, when the tumor occurs in the stomach, seems difficult but is important, since glomus tumors of the stomach are essentially benign and amenable to conservative excision, contrary to aggressive gastric neoplasms. We describe the case of a 75-year-old man presented to the emergency department with gastrointestinal bleeding and epigastric pain. Gastroscopy revealed a submucosal mass in the antrum of the stomach in correspondence to the lesser curvature. Biopsies taken from the lesion showed morphological and immunohistochemical [positivity for alphasmooth muscle actin (alpha-SMA) and vimentin, negativity for CD34, CD117, chromogranin, synaptophysin, desmin and S-100 protein] characteristics attributable to glomus tumor. The patient underwent a laparotomic antrotomy incision. Histological examination of the tumor confirmed the diagnosis of gastric glomus tumor.
血管球瘤是相对罕见的良性肿瘤,最常见于皮肤和皮下组织,但也可发生于内脏,最常发生于胃。当肿瘤发生在胃时,术前诊断似乎困难但很重要,因为胃血管球瘤本质上是良性的,适合保守切除,这与侵袭性胃肿瘤不同。我们描述了一名75岁男性因胃肠道出血和上腹部疼痛就诊于急诊科的病例。胃镜检查显示胃窦小弯处有一个黏膜下肿块。从病变处取的活检显示出血管球瘤的形态学和免疫组化特征(α平滑肌肌动蛋白(α-SMA)和波形蛋白呈阳性,CD34、CD117、嗜铬粒蛋白、突触素、结蛋白和S-100蛋白呈阴性)。患者接受了剖腹胃窦切开术。肿瘤的组织学检查证实了胃血管球瘤的诊断。