Yu Xiong-Fei, Guo Li-Wen, Chen Shi-Tu, Teng Li-Song
Xiong-Fei Yu, Li-Wen Guo, Shi-Tu Chen, Li-Song Teng, Department of Surgical Oncology, The 1 Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China.
World J Gastroenterol. 2015 Mar 28;21(12):3759-62. doi: 10.3748/wjg.v21.i12.3759.
Gastritis cystica profunda is a relatively rare disease, usually observed at anastomotic sites in stomachs of patients that have undergone gastric procedures. We present the rare case of an elevated lesion in the anterior wall of the gastric antrum of a 43-year-old Chinese woman who had never undergone gastric surgery and had no gastrointestinal tract symptoms. Although the physical examination and laboratory data showed no abnormalities, endoscopic ultrasonography revealed an anechoic cystic structure. Abdominal computed tomography and magnetic resonance imaging showed the gastric wall of the greater curvature of the antrum was markedly and irregularly thickened, and mild to moderate enhancement was observed around the lesion with no enhancement in the central portion, suggestive of a gastrointestinal stromal tumor. The patient underwent a distal gastric resection of the 2.5 cm × 1.5 cm lesion. A postoperative pathologic examination showed dilated cystic glands in the muscularis mucosa and submucosal layers and erosion of the mucosal surface of the tumor, confirming the diagnosis of gastritis cystica profunda without malignancy.
深部囊性胃炎是一种相对罕见的疾病，通常见于接受过胃部手术患者胃内的吻合部位。我们报告了一例罕见病例，一名43岁从未接受过胃部手术且无胃肠道症状的中国女性，其胃窦前壁有一隆起性病变。尽管体格检查和实验室数据均未显示异常，但内镜超声检查发现一个无回声囊性结构。腹部计算机断层扫描和磁共振成像显示胃窦大弯侧胃壁明显不规则增厚，病变周围可见轻度至中度强化，中央部分无强化，提示胃肠道间质瘤。患者接受了对2.5 cm×1.5 cm病变的远端胃切除术。术后病理检查显示肌层黏膜和黏膜下层有扩张的囊性腺体，肿瘤黏膜表面有糜烂，确诊为无恶性病变的深部囊性胃炎。
