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Mago S, Pasumarthi A, Miller DR, Saade R, Tadros M. The Two Challenges in Management of Gastric Glomus Tumors. Cureus 2020; 12:e9251. [PMID: 32821597 PMCID: PMC7430658 DOI: 10.7759/cureus.9251] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
Gastric glomus tumors (GGTs) are rare gastrointestinal lesions originating from the neuromuscular arterial canal or vascular lumen which share many overlapping features with other stromal lesions. Despite most cases of GGTs being benign, there is a lack of reliable histological features predictive of tumor behavior. We present a case of a 42-year-old male who was determined to have a GGT via histological diagnosis and underwent surgical wedge resection. This case highlights the importance of establishing an accurate diagnosis and the various factors that must be taken into consideration to best determine malignant potential and management options.
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Affiliation(s)
- Sheena Mago
- Internal Medicine, University of Connecticut Health Center, Farmington, USA
| | | | | | - Rayan Saade
- Pathology, Albany Medical Center, Albany, USA
| | - Micheal Tadros
- Gastroenterology and Hepatology, Albany Medical Center, Albany, USA
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Endoscopic mucosal resection of a glomus tumour of the duodenum. GASTROENTEROLOGY REVIEW 2020; 15:173-174. [PMID: 32550951 PMCID: PMC7294970 DOI: 10.5114/pg.2020.95559] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Accepted: 10/18/2019] [Indexed: 02/08/2023]
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Chen KB, Chen L. Glomus tumor in the stomach: A case report and review of the literature. Oncol Lett 2014; 7:1790-1792. [PMID: 24932234 PMCID: PMC4049669 DOI: 10.3892/ol.2014.1986] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2013] [Accepted: 02/18/2014] [Indexed: 12/11/2022] Open
Abstract
This study reports a rare case of a 47-year-old female with a gastric glomus tumor who was admitted with epigastralgia. Endoscopic ultrasound revealed a protrusion on the posterior wall of the gastric antrum. Enhanced computed tomography confirmed the presence of a 10-mm mass. The tumor was resected, and immunohistochemistry revealed the tumor to be positive for smooth muscle actin and collagen type IV, and negative for synaptophysin, chromogranin A, laminin, S-100, cluster of differentiation (CD)34, CD31, CD99, cytokeratin (AE1/AE3), desmin and epithelial membrane antigen. The proliferation marker Ki-67 was positive in <5% of tumor cell nuclei. The clinical procedures with a review of the literature are reported.
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Affiliation(s)
- Kai-Bo Chen
- Department of General Surgery, The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310000, P.R. China
| | - Li Chen
- Department of General Surgery, The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310000, P.R. China
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Abstract
Several unusual stomach tumors have been recently described. In addition, some tumors that are often encountered in other sites may rarely occur as primary gastric tumors. The diagnostic surgical pathologist needs to be aware of some of these lesions to prevent misdiagnosis. This overview discusses the key clinical features, pathology, immunohistochemistry, and relevant molecular findings of multiple minute gastrointestinal stromal tumors and interstitial cell of Cajal hyperplasia, nerve sheath tumors (schwannoma and perineurioma), gastroblastoma, granular cell tumor, glomus tumor, plexiform angiomyxoid myofibroblastic tumor, and primary clear cell sarcoma of the gastrointestinal tract that occur as primary gastric neoplasms.
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Affiliation(s)
- Lai Mun Wang
- Oxford University Hospitals Trust, University of Oxford, Oxford, UK
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Glomus tumor of the stomach: a rare cause of upper gastrointestinal bleeding. Case Rep Surg 2011; 2011:371082. [PMID: 22606576 PMCID: PMC3350055 DOI: 10.1155/2011/371082] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2011] [Accepted: 08/21/2011] [Indexed: 11/17/2022] Open
Abstract
Introduction. Glomus tumors (GTs) are benign neoplasm originating from the glomus body, commonly described in subungual region. The involvement abdominal is rare. Our aim is to describe a case of glomus tumor of the stomach that presented upper gastrointestinal bleeding. A 34-year-old woman was admitted with upper gastrointestinal bleeding and underwent an upper endoscopy that showed bleeding arising from an ulcerated lesion, treated by sclerosis therapy. A new endoscopy confirmed a submucosal lesion in upper portion of the stomach. During the laparotomy, a tumor at the upper anterior wall of gastric body was found and resected by a vertical gastrectomy. The pathological exam revealed hyperplastic smooth muscle fibers of the muscularis propria of the stomach wall, surrounded by hyaline stroma. The immunohistochemistry panel was positive for smooth muscle actin and type IV collagen, with low rate of mitosis studied by Ki-67 which allowed the final diagnosis of a gastric glomus tumor. Discussion. The majority of intraperitoneal glomus tumors occur in the stomach, and it is phenotypically similar to those localized in peripheral sites. Gastric GT generally is a benign tumor although it can be malignant and have the potential to metastasize. Conclusion. Even though gastric glomus tumor is rarely described, it should be considered as a possible cause of a major upper gastrointestinal bleeding.
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Xu M, Jiang XM, He YL, Zhang YL, Xu MD, Yao LQ. Glomus tumor of the stomach: a case treated by endoscopic submucosal dissection. Clin Res Hepatol Gastroenterol 2011; 35:325-8. [PMID: 21482220 DOI: 10.1016/j.clinre.2010.11.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2010] [Accepted: 11/08/2010] [Indexed: 02/06/2023]
Abstract
Glomus tumors, as a type of quite rare neoplasms, originate from modified smooth muscle cells of the glomus body whose function is to regulate blood flow within arteries according to the body temperature. Although these tumors most commonly occur in the peripheral soft tissues, especially in the distal parts of extremities, there have been rare reports of visceral involvement (Lorber et al., 2005) [1]. We report a case of gastric glomus tumor, which was preoperatively diagnosed by ultrasonic endoscopy as a gastric stromal tumor and treated by endoscopic submucosal dissection (ESD).
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Affiliation(s)
- Min Xu
- Department of Gastroenterology, Hospital affiliated Jiangsu University, Jiangsu 212001, China
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Vassiliou I, Tympa A, Theodosopoulos T, Dafnios N, Fragulidis G, Koureas A, Kairi E. Gastric glomus tumor: a case report. World J Surg Oncol 2010; 8:19. [PMID: 20307271 PMCID: PMC2856582 DOI: 10.1186/1477-7819-8-19] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2009] [Accepted: 03/22/2010] [Indexed: 01/03/2023] Open
Abstract
Gastric glomus tumors are rare mesenchymal tumors of the gastrointestinal tract. We describe a 72-year-old patient who presented with episodes of melena and was subsequently investigated for a tumor of the antrum of the stomach. Surgical resection revealed a 2 x 2 x 1.7 cm well circumscribed submucosal tumor, extending into the muscularis propria. The histopathologic examination of the specimen demonstrated a glomus tumor of the stomach. We discuss the preoperative investigation, the diagnostic problems and the surgical treatment of the patient with this rare submucosal lesion.
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Affiliation(s)
- Ioannis Vassiliou
- Second Department of Surgery, Athens Medical School, Aretaieion Hospital, 76 Vassilisis Sofias Avenue, 11528, Athens, Greece
| | - Aliki Tympa
- First Department of Anesthesiology, Athens Medical School, Aretaieion Hospital, 76 Vassilisis Sofias Avenue, 11528, Athens, Greece
| | - Theodosios Theodosopoulos
- Second Department of Surgery, Athens Medical School, Aretaieion Hospital, 76 Vassilisis Sofias Avenue, 11528, Athens, Greece
| | - Nikolaos Dafnios
- Second Department of Surgery, Athens Medical School, Aretaieion Hospital, 76 Vassilisis Sofias Avenue, 11528, Athens, Greece
| | - Georgios Fragulidis
- Second Department of Surgery, Athens Medical School, Aretaieion Hospital, 76 Vassilisis Sofias Avenue, 11528, Athens, Greece
| | - Andreas Koureas
- First Department of Radiology, Athens Medical School, Aretaieion Hospital, 76 Vassilisis Sofias Avenue, 11528, Athens, Greece
| | - Evi Kairi
- Department of Pathology, Athens Medical School, Aretaieion Hospital, 76 Vassilisis Sofias Avenue, 11528, Athens, Greece
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Kim DH, Kim DH, Jeon TY, Kim HS, Kim JH, Kim TO, Kim GH, Song GA, Kim S, Park DY. Gastric Glomus Tumor. JOURNAL OF THE KOREAN SURGICAL SOCIETY 2009. [DOI: 10.4174/jkss.2009.77.suppl.s9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Dae Hwan Kim
- Department of Surgery, School of Medicine, Pusan National University, Busan, Korea
| | - Dong Heon Kim
- Department of Surgery, School of Medicine, Pusan National University, Busan, Korea
| | - Tae Yong Jeon
- Department of Surgery, School of Medicine, Pusan National University, Busan, Korea
| | - Hyun Sung Kim
- Department of Surgery, School of Medicine, Pusan National University, Busan, Korea
| | - Jae Hun Kim
- Department of Surgery, School of Medicine, Pusan National University, Busan, Korea
| | - Tae Oh Kim
- Department of Internal Medicine, School of Medicine, Pusan National University, Busan, Korea
| | - Gwang Ha Kim
- Department of Internal Medicine, School of Medicine, Pusan National University, Busan, Korea
| | - Geon Am Song
- Department of Internal Medicine, School of Medicine, Pusan National University, Busan, Korea
| | - Suk Kim
- Department of Radiology, School of Medicine, Pusan National University, Busan, Korea
| | - Do Yoon Park
- Department of Pathology, School of Medicine, Pusan National University, Busan, Korea
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