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胃血管球瘤:一例病例报告并文献复习

Glomus tumor of the stomach: a case report and review of the literature.

作者信息

Bauerová L, Gabris V, Honsová E, Povýsil C

机构信息

Department of Pathology, the First Faculty of Medicine and General Teaching Hospital, Charles University Prague, Czech Republic.

出版信息

Cesk Patol. 2011 Jul;47(3):128-9.

Abstract

Glomus tumor is a benign soft tissue neoplasm which commonly affects the subungual region of the fingers. But the tumors can also arise in the other sites such as the antrum of the stomach. We are reporting a case of a glomus tumor of the stomach in a 71-year-old female patient who presented with dyspepsia. The tumor was confined to the lamina muscularis propria, it consisted of round cells with small uniform nuclei, which surrounded thin walled blood vessels. Immunohistochemistry revealed the tumor to be positive for smooth muscle actin, vimentin, calponin, h-caldesmon and negative for c-KIT, S-100, CD34, CD99, synaptophysin, chromogranin, desmin and EMA. The proliferation marker Ki-67 was positive in less than 5% of tumor cell nuclei. Glomus tumors are usually benign but malignant cases have been published. Criteria for the malignant potential of gastric glomus tumors remain poorly defined.

摘要

血管球瘤是一种良性软组织肿瘤,通常累及手指的甲下区域。但肿瘤也可发生于其他部位,如胃窦。我们报告一例71岁女性胃血管球瘤患者,该患者表现为消化不良。肿瘤局限于固有肌层,由细胞核小而均匀的圆形细胞组成,这些细胞围绕着薄壁血管。免疫组化显示肿瘤平滑肌肌动蛋白、波形蛋白、钙调蛋白、h-钙调蛋白阳性,c-KIT、S-100、CD34、CD99、突触素、嗜铬粒蛋白、结蛋白和上皮膜抗原阴性。增殖标志物Ki-67在不到5%的肿瘤细胞核中呈阳性。血管球瘤通常为良性,但也有恶性病例的报道。胃血管球瘤恶性潜能的标准仍不明确。

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