Gastric adenomyoma

Kerkez, Mirko; Lekić, Nebojša; Culafic, Djordje; Raznatovic, Zoran; Ignjatovic, Igor; Lekić, Dragana; Mijač, Dragana

doi:10.2298/vsp1106519k

Cited by 6 publications

(8 citation statements)

References 8 publications

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“…Asymptomatic lesions can be found incidentally during imaging for other reasons, the stomach being the most common site, and it can be a diagnostic challenge to differentiate these from malignant gastric tumors. Endoscopic biopsies have a very low yield [7,8]. Surgical excision of such gastric tumors is usually needed to confirm the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Gastric hamartoma of the pylorus in an infant

Aljahdali

Oviedo

Blair

2012

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Gastric hamartoma of the pylorus in an infant

Aljahdali

Oviedo

Blair

2012

Journal of Pediatric Surgery

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“…GA has occurred in all age groups, from 7 d[ 8 ] to 84 years[ 9 ]. To some extent, its low occurrence rate is because the majority of these cases are asymptomatic[ 10 - 12 ]; however, some GA patients experience epigastric pain and discomfort, with/without nausea[ 13 ], vomiting[ 14 ], dyspepsia[ 15 ], and melena[ 16 ]. Concerning small children or infants, the first symptom may be nonbilious vomiting[ 8 , 13 - 14 , 17 - 19 ] or esophageal reflux[ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Because of its rare occurrence, GA is typically not considered and can be easily misdiagnosed since it is similar to other benign or malignant gastrointestinal lesions, such as GIST[ 15 , 21 , 25 - 27 ], leiomyoma[ 5 , 28 ], gastric carcinoma[ 29 ], gastric adenocarcinoma[ 30 ], and pylorus stenosis[ 13 - 14 , 17 ], making the differential diagnosis challenging.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic gastric adenomyoma and heterotopic pancreas in a patient with pancreatic cancer: A case report and review of the literature

Li¹,

Xu²,

Liu³

et al. 2021

WJCC

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BACKGROUND Gastric adenomyoma (GA) is a rare submucosal benign neoplasm that occurs mostly in the gastric antrum and is often misdiagnosed. No standard treatment has been established for this disease in cases of malignancy. CASE SUMMARY A 75-year-old woman with a 10-year history of hypertension was admitted to the Emergency Department of our hospital complaining of paroxysmal exacerbation of acute abdominal pain for 1 d with no apparent cause. Enhanced computed tomography and magnetic resonance imaging indicated a mass in the caudal pancreas, cholecystitis, and cholecystic polypus. Gastrointestinal endoscopy showed a mass arising from the gastric antrum. Due to the imaging findings, pancreatic cancer (PC), gastric lesion, cholecystitis, and cholecystic polypus were our primary consideration. Radical pancreatectomy, splenectomy, and cholecystectomy were performed successfully, and the gastric tumor was locally resected. Postoperative paraffin specimens confirmed the diagnosis of caudal PC, GA, and heterotopic pancreas (HP). Unfortunately, the patient died 13 mo later due to PC metastases to the liver, lung, and adrenal glands. CONCLUSION GA is a rare benign disease, especially when occurring with HP. It may stem from the same origin as HP. This is the first case report to date of a patient suffering from the simultaneous occurrence of GA, HP, and PC. GA is a lesion that can mimic other benign or malignant gastrointestinal diseases; thus, a definitive diagnosis depends on postoperative pathological biopsy. Although GA and HP are both benign lesions, they should be resected because there is a chance of malignancy. Additional research should be conducted to better understand these submucosal lesions.

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“…Adenomyomas of the gastrointestinal tract are most often observed in the duodenum, gall bladder, and stomach. GAs are very rare tumours and found in postmortem material in 0.55‐5.7% of the autopsies 6 . Although there are reported cases from 8 weeks to 81 years old in the literature, the most common age of diagnosis is between the ages of 40 and 60 1 .…”

Section: Discussionmentioning

confidence: 99%

A rare subepithelial lesion in the stomach: Gastric adenomyoma

et al. 2021

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Gastric adenomyomas are rare benign tumours and most often localized in the gastric antrum. The tumour generally consists of glandular cells and smooth muscle bundles. The size of a gastric adenomyoma (GA) can be up to 4.5 cm and can affect patients any age of their life. In cases with GA most of the patients are asymptomatic. However, non‐specific gastrointestinal symptoms such as epigastric pain, vomiting and nausea can be seen. Differential diagnosis of GA difficult due to non‐specific radiological and endoscopic findings. Imaging techniques and endoscopic examinations can not distinguish GAs from other intramuscular lesions of the stomach. Surgical excision is used in both diagnosis and treatment. In this article, we present a 46‐year‐old male patient with long‐term dyspeptic complaints admitted to our department and diagnosed as gastric adenomyoma by performing subtotal gastrectomy.

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Gastric adenomyoma

Abstract: Uncertain malignant potential of the gastric adenomyoma in the presented case indicates that timely diagnostics with adequate surgical treatment is crucial for an adequate treatment.

Cited by 6 publications

References 8 publications

Gastric hamartoma of the pylorus in an infant

Gastric hamartoma of the pylorus in an infant

Asymptomatic gastric adenomyoma and heterotopic pancreas in a patient with pancreatic cancer: A case report and review of the literature

A rare subepithelial lesion in the stomach: Gastric adenomyoma

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