Takaya Hiroaki, Kawaratani Hideto, Kaneko Miki, Takeda Soichi, Sawada Yasuhiko, Kitade Mitsuteru, Moriya Kei, Namisaki Tadashi, Sawai Masayoshi, Mitoro Akira, Yamao Junichi, Yoshiji Hitoshi
Third Department of Internal Medicine, Nara Medical University, Kashihara, Nara, 634-8522, Japan.
Department of Endoscopy and Ultrasound, Nara Medical University, Kashihara, Nara, 634-8522, Japan.
Acta Gastroenterol Belg. 2017 Apr-Jun;80(2):317-319.
Granular cell tumors (GCTs) usually develop in patients aged 30-50 years in the skin, tongue, and mammary gland, with 5-9% of GCTs occurring on the esophagus, ascending colon, and cecum. We report a case of gastric GCT in a 16-year-old male who presented with nausea and abdominal discomfort. Esophagogastroduodenoscopy (EGD) revealed an elastic hard and yellowish submucosal tumor of the gastric cardia anterior wall. GCT was suspected upon biopsy ; after total endoscopic submucosal dissection, histology of the resected tumor confirmed the diagnosis. Endoscopic treatment should be considered in youths with GCT.
颗粒细胞瘤(GCTs)通常发生于30至50岁的患者,好发于皮肤、舌和乳腺,5%至9%的GCTs发生于食管、升结肠和盲肠。我们报告一例16岁男性胃GCT病例,该患者表现为恶心和腹部不适。食管胃十二指肠镜检查(EGD)显示胃贲门前壁有一个质地硬且呈淡黄色的弹性黏膜下肿瘤。活检时怀疑为GCT;经全内镜黏膜下剥离术后,切除肿瘤的组织学检查确诊了该诊断。对于患有GCT的青少年应考虑内镜治疗。