Wu Menghui, Zhou Tianyu, Cao Donghui, Qu Limei, Cao Xueyuan
Department of Gastric and Colorectal Surgery, The First Hospital of Jilin University.
Department of Clinical Research, The First Hospital of Jilin University.
Medicine (Baltimore). 2018 Nov;97(45):e13132. doi: 10.1097/MD.0000000000013132.
Glomus tumors (GTs) are a rare disorder originating from the glomus of the anastomoses of small arteries, usually occurring in the subungual region of the fingertips or toes and seldom occurring in the stomach. We unintentionally found a case of a gastric glomus tumor (GGT) without any upper abdominal discomfort. The diagnosis of this disease was mainly by immunohistochemistry.
The patient presented to our hospital with intermittent right abdominal pain for 1 month. Abdominal computed tomography showed a nodular enhancement lesion in the gastric antrum.
The patient was diagnosed with an ileocecal tumor and a gastric stromal tumor.
Surgical resection of the ileocecal and gastric tumors was performed.
Pathologic examination of gastric masses revealed GT. The operation was effective, and the patient was discharged from our hospital 7 days after surgery. Upon follow-up at 3 months, the patient was asymptomatic.
GTs are submucosal tumors rarely found in the stomach. Surgical resection is a good choice of treatment. The GGT lacked specific clinical and imaging features, and immunohistochemistry was essential in the diagnosis of GGT.
血管球瘤（GTs）是一种罕见的疾病，起源于小动脉吻合处的血管球，通常发生在指尖或脚趾的甲下区域，很少发生在胃中。我们意外发现一例无任何上腹部不适的胃血管球瘤（GGT）。该疾病的诊断主要依靠免疫组织化学。
患者因间歇性右腹痛1个月前来我院就诊。腹部计算机断层扫描显示胃窦部有一个结节状强化病变。
患者被诊断为回盲部肿瘤和胃间质瘤。
对回盲部和胃肿瘤进行了手术切除。
胃肿物的病理检查显示为血管球瘤。手术效果良好，患者术后7天出院。术后3个月随访时，患者无症状。
血管球瘤是罕见的胃黏膜下肿瘤。手术切除是一种很好的治疗选择。胃血管球瘤缺乏特异性的临床和影像学特征，免疫组织化学在胃血管球瘤的诊断中至关重要。
