University of Missouri-Kansas City, USA.
MAWD Pathology Group, Kansas City, USA.
J Investig Med High Impact Case Rep. 2023 Jan-Dec;11:23247096231192891. doi: 10.1177/23247096231192891.
Gastric glomus tumor is a rare mesenchymal tumor of the gastrointestinal tract, accounting for approximately 1% of all gastrointestinal soft tissue tumors. We describe a unique case of a 27-year-old female patient who presented with recurrent episodes of overt gastrointestinal bleeding requiring multiple blood transfusions. The patient was diagnosed with a gastric ulcer detected on esophagogastroduodenoscopy (EGD), which was grossly suggestive of an ulcerated gastrointestinal stromal tumor (GIST). Preoperative diagnosis was difficult, requiring laparoscopic robotic-assisted local wedge resection of the gastric mass. Pathological diagnosis and immunohistochemical (IHC) studies were consistent with a glomus tumor. We emphasize that the gastric glomus tumor might present with life-threatening recurrent gastrointestinal hemorrhage. In addition, it might mimic GIST and require surgical resection. Pathological diagnosis and IHC studies are needed to confirm the diagnosis.
胃血管球瘤是胃肠道少见的间叶源性肿瘤，约占所有胃肠道软组织肿瘤的 1%。我们描述了一例 27 岁女性患者的特殊病例，该患者反复出现显性胃肠道出血，需要多次输血。患者在食管胃十二指肠镜（EGD）检查中诊断为胃溃疡，大体上提示溃疡性胃肠道间质瘤（GIST）。术前诊断困难，需要腹腔镜机器人辅助局部楔形胃切除术。病理诊断和免疫组化（IHC）研究与血管球瘤一致。我们强调胃血管球瘤可能表现为危及生命的复发性胃肠道出血。此外，它可能类似于 GIST，需要手术切除。需要病理诊断和 IHC 研究来确诊。
