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 submucosa...

Full description

Saved in:
Bibliographic Details
Published in:World journal of gastrointestinal oncology 2017-06, Vol.9 (6), p.263-267
Main Authors: Kawara, Fumiaki, Tanaka, Shinwa, Yamasaki, Takashi, Morita, Yoshinori, Ohara, Yoshiko, Okabe, Yoshihiro, Hoshi, Namiko, Toyonaga, Takashi, Umegaki, Eiji, Yokozaki, Hiroshi, Hirose, Takanori, Azuma, Takeshi
Format: Article
Language:English
Subjects:
Case Report
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:1948-5204
1948-5204
DOI:10.4251/wjgo.v9.i6.263