Faculty of Medicine, University of Aleppo, Aleppo, Syria.
Department of General Surgery, Faculty of Medicine, University of Aleppo, Aleppo, Syria.
J Med Case Rep. 2024 Aug 24;18(1):397. doi: 10.1186/s13256-024-04741-7.
Gastric adenomyoma is a rare benign tumor composed of glandular structures and smooth muscle fibers. While some classify gastric adenomyoma as a hamartoma, others view it as an abortive form of heterotopic pancreas. Despite its benign nature, there is a risk of malignant transformation. Predominantly found in the antrum, gastric adenomyoma affects all ages but is most common in adults aged 40-60 years. Symptoms are nonspecific, and its similarity to other lesions complicates diagnosis. This paper aims to provide a review of medical literature on gastric adenomyoma and its diagnosis and treatment methods, along with presenting an additional case report on the same topic.
We present the case of a 55-year-old Syrian man who experienced vomiting, weight loss, and chronic partial constipation. An obstructing mass in the pylorus was detected, and then an open surgery was performed to excise the lesion. A biopsy of the resected mass was obtained for histopathological examination. The final diagnosis of the lesion was pyloric-region adenomyoma with severe pyloric stenosis. After the successful surgery, the patient recovered without any recurrence or complications.
Several diagnostic approaches are available, including radiological studies, endoscopic examination, and fine needle aspiration guided by endoscopic ultrasonography. Treatment options involve endoscopic submucosal dissection and complete laparotomy resection. Further studies and thorough reviews are recommended to better understand the best clinical practices. Practitioners should consider gastric adenomyoma when encountering a mural gastric lesion.
胃腺瘤是一种罕见的良性肿瘤，由腺体结构和平滑肌纤维组成。虽然有些将胃腺瘤归类为错构瘤，但另一些则认为它是异位胰腺的一种发育不良形式。尽管它是良性的，但有恶变的风险。胃腺瘤主要发生在胃窦部，可发生于各年龄段，但最常见于 40-60 岁的成年人。症状无特异性，且与其他病变相似，增加了诊断的难度。本文旨在对胃腺瘤及其诊断和治疗方法的医学文献进行综述，并报告同一主题的附加病例报告。
我们介绍了一位 55 岁的叙利亚男性患者，他出现呕吐、体重减轻和慢性部分性便秘。检测到幽门处有一个阻塞性肿块，随后进行了开放性手术切除病变。切除的肿块进行了活检以进行组织病理学检查。病变的最终诊断为幽门部腺瘤伴严重幽门狭窄。手术后，患者成功康复，无复发或并发症。
有几种诊断方法，包括影像学研究、内镜检查和内镜超声引导下的细针抽吸。治疗选择包括内镜黏膜下剥离术和完全剖腹手术切除。建议进行进一步的研究和全面的综述，以更好地了解最佳临床实践。当遇到胃壁病变时，临床医生应考虑胃腺瘤。
