Toti Luca, Manzia Tommaso Maria, Roma Silvia, Meucci Rosaria, Blasi Francesca, Ferlosio Amedeo, Tisone Giuseppe, Orlacchio Antonio
Department of Surgery, Liver Unit also University Hospital Tor Vergata, Rome, Italy.
Department of Diagnostic and Interventional Radiology, University Hospital Tor Vergata, Rome 00133, Italy.
Radiol Case Rep. 2019 Feb 2;14(4):463-467. doi: 10.1016/j.radcr.2019.01.012. eCollection 2019 Apr.
We report a case of a 72-year-old male admitted in our Unit with anemia and a 10 cm liver neoplasm. Computed tomography scan showed 2 lesions respectively in the II, III and, VIII segment of the liver. Surgical resection of the larger liver mass was performed and the tumor appeared as a solid-cystic mass and a diagnosis of malignant mesenchymal tumor not otherwise specified, was made. One month later a Computed tomography scan detected a dishomogeneous gastric mass, 6 cm in diameter, in the greater curvature, confirmed by esophagogastroduodenoscopy. The pathological diagnosis from endoscopic biopsy revealed a mesenchymal tumor requiring surgical removal for accurate diagnosis. The patient underwent relaparotomy and gastric resection and the pathological findings gave a diagnosis of a rare malignant glomic tumor of the stomach confirmed by the revision of previously performed hepatic resection classified as secondary lesion.
我们报告一例72岁男性患者，因贫血和一个10厘米的肝脏肿瘤入住我们科室。计算机断层扫描显示肝脏的第II、III和VIII段分别有2个病灶。对较大的肝脏肿块进行了手术切除，肿瘤表现为实性囊性肿块，诊断为未另行指定的恶性间叶性肿瘤。一个月后，计算机断层扫描在胃大弯处发现一个直径6厘米的不均匀胃肿块，经食管胃十二指肠镜检查证实。内镜活检的病理诊断显示为间叶性肿瘤，需要手术切除以进行准确诊断。患者接受了再次剖腹手术和胃切除术，病理结果诊断为罕见的胃恶性球旁细胞瘤，经复查先前进行的肝脏切除术确认为继发性病变。
