A rare submucosal tumour of stomach-glomus tumour: A case report.
Int J Surg Case Rep 2015;
11:64-67. [PMID:
25935733 PMCID:
PMC4446683 DOI:
10.1016/j.ijscr.2015.04.014]
[Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2015] [Revised: 04/06/2015] [Accepted: 04/07/2015] [Indexed: 11/29/2022] Open
Abstract
Rare submucosal tumour of stomach.
Incidence 1 in 100 gastrointestinal stromal tumour.
Preoperative diagnosis is difficult.
Immunohistochemistry gold standard tool for confirmation.
Wedge resection is the treatment of choice.
Introduction
Glomus tumour (GT) of the stomach is a rare submucosal mesenchymal tumour. Gastric glomus tumours are clinically recognized as benign. Nevertheless, some show biological behaviour similar to that of malignant lesions and presurgical confirmation is often impossible.
Presentation of case
A 32 year old female who presented with epigastric pain and was subsequently investigated for a antral tumour of the stomach and Wedge resection of tumour was done. Immunohistochemistry demonstrated strong positivity of smooth muscle actin and vimentin with low rate of mitosis studied by ki-67.
Discussion
We discuss the preoperative investigation, the diagnostic problems and the surgical treatment of the patient with gastric glomus tumour.
Conclusion
Glomus tumours should be considered as differential diagnosis for submucosal tumours of stomach.
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