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以大量上消化道出血为表现的胃血管球瘤:一种诊断和治疗具有挑战性的肿瘤。

Gastric glomus tumor presenting with massive upper GI bleeding: A challenging to diagnose and treat tumor.

作者信息

Ayash Ahmad, Elkomy Nasrein, Al-Mohannadi Muneera Jassim, Al Kaabi Saad Rashid, Petkar Mahir

机构信息

Department of Gastroenterology Hamad Medical Corporation Doha Qatar.

Department of Pathology Hamad Medical Corporation Doha Qatar.

出版信息

Clin Case Rep. 2022 Aug 3;10(8):e6172. doi: 10.1002/ccr3.6172. eCollection 2022 Aug.

Abstract

Glomus tumors are infrequent benign tumors that originate from the glomus body and can be found anywhere in the body including the gastrointestinal tract. It is rare that gastric glomus tumors present with life-threatening upper GI bleeding. Diagnosis of gastric glomus tumors poses a challenge due to overlapping endoscopic and endosonographic features with other gastric subepithelial lesions, and the final diagnosis may not be clear until after surgical resection and pathological examination. We report the case of a 61-year-old patient who presented with massive upper GI bleeding secondary to an ulcerated gastric glomus tumor that was eventually treated with surgical wedge resection of the tumor.

摘要

血管球瘤是一种罕见的良性肿瘤,起源于血管球,可发生于身体任何部位,包括胃肠道。胃血管球瘤出现危及生命的上消化道出血情况较为罕见。由于胃血管球瘤在内镜和超声内镜检查中的特征与其他胃黏膜下病变重叠,因此胃血管球瘤的诊断具有挑战性,最终诊断可能要在手术切除及病理检查后才能明确。我们报告一例61岁患者,因溃疡性胃血管球瘤继发大量上消化道出血,最终接受了肿瘤楔形切除术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f02/9347322/f649eacadcd3/CCR3-10-e6172-g002.jpg

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