Devanathan Madhusudhanan, Jamuna Rani S, Chandramohan S M, Anbarasu Sasivannan
Department of Surgery, Tagore Medical College and Hospital, Chennai, India.
Department of Pathology, Tagore Medical College and Hospital, Chennai, India.
Int J Surg Case Rep. 2015;11:64-67. doi: 10.1016/j.ijscr.2015.04.014. Epub 2015 Apr 9.
Glomus tumour (GT) of the stomach is a rare submucosal mesenchymal tumour. Gastric glomus tumours are clinically recognized as benign. Nevertheless, some show biological behaviour similar to that of malignant lesions and presurgical confirmation is often impossible.
A 32 year old female who presented with epigastric pain and was subsequently investigated for a antral tumour of the stomach and Wedge resection of tumour was done. Immunohistochemistry demonstrated strong positivity of smooth muscle actin and vimentin with low rate of mitosis studied by ki-67.
We discuss the preoperative investigation, the diagnostic problems and the surgical treatment of the patient with gastric glomus tumour.
Glomus tumours should be considered as differential diagnosis for submucosal tumours of stomach.
胃球瘤(GT)是一种罕见的黏膜下间叶组织肿瘤。胃球瘤在临床上被认为是良性的。然而,一些胃球瘤表现出与恶性病变相似的生物学行为,术前往往无法确诊。
一名32岁女性,因上腹部疼痛就诊,随后接受检查发现胃窦部肿瘤,并进行了肿瘤楔形切除术。免疫组织化学显示平滑肌肌动蛋白和波形蛋白呈强阳性,通过Ki-67检测有丝分裂率较低。
我们讨论了胃球瘤患者的术前检查、诊断问题和手术治疗。
胃球瘤应被视为胃黏膜下肿瘤的鉴别诊断之一。