Gastric plexiform fibromyxoma resected by endoscopic submucosal dissection after observation of chronological changes: A case report

A 66-year-old man was diagnosed with a gastric submucosal tumor. Endoscopic ultrasound (EUS) revealed an iso/hypoechoic mass in the third layer. No malignant cells were detected in a histological examination. Yearly follow-up endoscopy and EUS showed the slow growth of the tumor. Endoscopic submucos...

Descripción completa

Detalles Bibliográficos
Autores principales: Kawara, Fumiaki, Tanaka, Shinwa, Yamasaki, Takashi, Morita, Yoshinori, Ohara, Yoshiko, Okabe, Yoshihiro, Hoshi, Namiko, Toyonaga, Takashi, Umegaki, Eiji, Yokozaki, Hiroshi, Hirose, Takanori, Azuma, Takeshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472557/
https://www.ncbi.nlm.nih.gov/pubmed/28656077
http://dx.doi.org/10.4251/wjgo.v9.i6.263
Descripción
Sumario:A 66-year-old man was diagnosed with a gastric submucosal tumor. Endoscopic ultrasound (EUS) revealed an iso/hypoechoic mass in the third layer. No malignant cells were detected in a histological examination. Yearly follow-up endoscopy and EUS showed the slow growth of the tumor. Endoscopic submucosal dissection (ESD) was performed and a glistening tumor was resected. The lesion showed a multinodular plexiform growth pattern consisting of spindle cells with an abundant fibromyxoid stroma that was rich in small vessels. The tumor was diagnosed as plexiform fibromyxoma (PF) by immunohistochemistry. Although difficulties are associated with reaching a diagnosis preoperatively, chronological changes on EUS may contribute to the diagnosis of PF. ESD may also be useful in the diagnosis and treatment of PF.

Ejemplares similares