Hu Jinlong, Ge Nan, Wang Sheng, Liu Xiang, Guo Jintao, Wang Guoxin, Sun Siyu
Endoscopy Center, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.
J Transl Int Med. 2019 Dec 31;7(4):149-154. doi: 10.2478/jtim-2019-0030. eCollection 2019 Dec.
Preoperative diagnosis of gastric glomus tumor is very difficult, and there are few reports regarding the endoscopic treatment of glomus tumor of the stomach. Our aim is to provide a retrospective assessment of the imaging features of endoscopic ultrasound (EUS) and treatment of choice of gastric glomus tumor.
A database of all patients with gastric glomus tumor who was treated at Shengjing Hospital of China Medical University between March 2011 and March 2017 was retrospectively analyzed. The EUS characteristics and patients' clinical data as well as their treatment were reviewed. At the same time, we compared EUS characteristics of gastric glomus tumor with that of gastrointestinal stromal tumor (GISTs), leiomyomas, schwannomas, and ectopic pancreas.
Eleven patients (3 male and 8 female patients) were included in the present study. The patients' age ranged from 37 to 62 years (mean age, 50.1 years). Ten patients received EUS examination. Eight lesions were presented with mild-hyperechoic round or oval mass; one lesion was mild-hyperechoic oval mass with hypoechoic spots; one lesion was hypoechoic oval mass. One patient received endoscopic full-thickness resection; 3 patients were treated by endoscopic submucosal dissection; and laparoscopic resection was performed for 7 patients.
Gastric glomus has typical EUS features to differentiate from other submucosal tumors. Compared with surgery, endoscopic resection is also a safe and effective treatment of choice for gastric glomus tumor.
胃血管球瘤的术前诊断非常困难，关于胃血管球瘤内镜治疗的报道较少。我们的目的是对内镜超声（EUS）的影像学特征及胃血管球瘤的治疗选择进行回顾性评估。
回顾性分析2011年3月至2017年3月在中国医科大学附属盛京医院接受治疗的所有胃血管球瘤患者的数据库。对EUS特征、患者临床资料及其治疗情况进行了回顾。同时，我们比较了胃血管球瘤与胃肠道间质瘤（GISTs）、平滑肌瘤、神经鞘瘤和异位胰腺的EUS特征。
本研究纳入11例患者（3例男性和8例女性）。患者年龄在37至62岁之间（平均年龄50.1岁）。10例患者接受了EUS检查。8个病变表现为轻度高回声圆形或椭圆形肿块；1个病变为轻度高回声椭圆形肿块伴低回声斑点；1个病变为低回声椭圆形肿块。1例患者接受了内镜全层切除术；3例患者接受了内镜黏膜下剥离术；7例患者进行了腹腔镜切除术。
胃血管球瘤具有典型的EUS特征，可与其他黏膜下肿瘤相鉴别。与手术相比，内镜切除也是胃血管球瘤安全有效的治疗选择。
