Frosio Fabio, Petruzziello Carmine, Poiasina Elia, Pisano Michele, Lucianetti Alessandro
Department of General Surgery, Azienda Socio Sanitaria Territoriale (ASST) Papa Giovanni XXIII Hospital, Bergamo, ITA.
Cureus. 2023 Dec 24;15(12):e51041. doi: 10.7759/cureus.51041. eCollection 2023 Dec.
Gastric glomus tumors (GGTs) are usually rare mesenchymal neoplasms. They are typically benign, with very few metastatic cases reported and no specific guidelines on their management. Here, we present a patient with a locally advanced GGT with synchronous liver metastases. One month after resection of the GGT, emergency laparotomy was required for massive hemoperitoneum due to bleeding from the largest metastasis. Indeed, a dramatic progression of liver metastases was observed in just one month. A wide local excision is considered the treatment of choice for GGTs. In particular, this case report suggests that the resection of any liver metastases should possibly be performed at the same time as the GGT excision and not at a later stage.
胃血管球瘤（GGTs）通常是罕见的间叶性肿瘤。它们通常为良性，报道的转移病例极少，且在其治疗方面没有具体的指导原则。在此，我们报告一名患有局部晚期胃血管球瘤并伴有同步肝转移的患者。胃血管球瘤切除术后一个月，因最大转移灶出血导致大量腹腔积血，需要进行急诊剖腹手术。事实上，仅在一个月内就观察到肝转移有显著进展。广泛局部切除被认为是胃血管球瘤的首选治疗方法。特别是，本病例报告表明，任何肝转移灶的切除可能应与胃血管球瘤切除同时进行，而不是在后期进行。
