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胃黏膜下腺肌瘤致黑便 1 例并文献复习

Gastric adenomyoma presenting as melena: a case report and literature review.

机构信息

Department of Pathology, Zhejiang Cancer Hospital, 38 Guangji Road, Banshan Bridge, Hangzhou 310022, Zhejiang Province, China.

出版信息

World J Gastroenterol. 2010 Apr 21;16(15):1934-6. doi: 10.3748/wjg.v16.i15.1934.

Abstract

Gastric adenomyoma (AM) is a rare benign tumor characterized by gland-like structures embedded within a smooth muscle stroma. We report a case of a 68-year-old man with gastric AM admitted to our hospital for melana. Endoscopic examination revealed a gastric mass of about 4 cm in diameter, located in the antrum. Histologic examination of the excised specimen showed irregularly arranged glands and interlacing smooth muscle bundles surrounding the glandular elements. Although gastric AM is rare, it should be considered in differential diagnosis of extramucosal gastric tumor.

摘要

胃腺肌瘤(AM)是一种罕见的良性肿瘤,其特征为在平滑肌基质中嵌入腺体样结构。我们报告了一例 68 岁男性因黑便入住我院,内镜检查发现胃窦部约 4cm 大小的胃肿块。切除标本的组织学检查显示腺体排列不规则,腺体周围交织着平滑肌束。尽管胃 AM 较为罕见,但在诊断胃外黏膜下肿瘤时应考虑到该病。

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