Combined laparoscopic-endoscopic approach for gastric glomus tumor:A case report  

作　　者：Wen-Hao Wang Ting-Ting Shen Zhi-Xing Gao Xin Zhang Zhao-Hui Zhai Yu-Li Li 

机构地区：[1]Clinical Medical College,Weifang Medical University,Weifang 261042,Shandong Province,China [2]Department of Gastroenterology,Affiliated Hospital of Weifang Medical University,Weifang 261042,Shandong Province,China [3]The Plastic Surgery Hospital of Weifang University,Weifang Medical University,Weifang 261042,Shandong Province,China [4]Plastic Surgery Institute of Weifang Medical University,Yuhe Campus of Weifang Medical University,Weifang 261042,Shandong Province,China

出　　处：《World Journal of Clinical Cases》2021年第24期7181-7188,共8页世界临床病例杂志

基　　金：Key Program of Shandong Provincial Natural Science Foundation,No.ZR2020KE018;The Project of Shandong Province Higher Educational Science and Technology Program,No.J17KA253;The Medical Science and Technology Development Project of Shandong,No.2018WS062;Weifang Science and Technology Development Plan,No.2020YX040.

摘　　要：BACKGROUND Gastric glomus tumor(GGT)is rare submucosal mesenchymal tumor that lacks specific clinical manifestations and is usually treated mainly by traditional surgical resection.This paper presents a case of a GGT,exhibited both intraluminally and extraluminally growth that was removed by laparoscopy-gastroscopy cooperative surgery.CASE SUMMARY A 52-year-old male presented with epigastric discomfort accompanied by a sense of fullness for 3 mo.Upper gastrointestinal endoscopy identified a submucosal lump located in the gastric antrum.Endoscopic ultrasonography identified a 2.4 cm×1.8 cm lump located in the gastric antrum.It originated from the muscularis propria and exhibited both intraluminally and extraluminally growth,with hypoechoicity on the periphery,hyperechoicity in the middle,and unclear boundaries.Computed tomography showed nodular thickening of 3.0 cm×2.2 cm in the gastric wall of the gastric antrum,and after enhancement,the lesion exhibited obvious enhancement We suspected that it was a gastrointestinal stromal tumor(glomus tumor and schwannoma were not excluded)and planned to perform laparoscopy-gastroscopy cooperative surgery.Immunohistochemical staining after the operation revealed that spinal muscular atrophy(+),hcaldesmon(+),cluster of differentiation 34(CD34)(+),2%Ki-67-positive rate,CD56,melanoma antigen,CD117,discovered on GIST-1,leukocyte common antigen,caudal type homeobox 2,cytokeratin,and S-100 were all negative.The tumor was finally diagnosed as a GGT.CONCLUSION GGTs are rare submucosal tumors of the stomach and should be considered in the differential diagnosis of gastric submucosal tumors.Laparoscopy-gastroscopy cooperative surgery is less invasive and more precise and could be an effective method for the treatment of GGTs.

关 键 词：Gastric glomus tumor LAPAROSCOPY GASTROSCOPY Immunohistochemical staining Operation method Case report 

分 类 号：R735.2[医药卫生—肿瘤]