Gastric glomus tumor: a rare case of dyspepsia

Casarotto, Andrea; Zarantonello, Fabio; Piccirillo, Gianluca; Criscenti, Paolo; Verza, Massimiliano; Zirillo, Maurizio; Rebonato, M.

doi:10.1055/s-0034-1391249

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…For such cases, Lee et al [102] recommended manual resection using ultrasonic shears with the resection margin paralleling the round edge of the tumor. Several cases of distal gastrectomies are reported for GTs of the gastric antrum, both open and laparoscopic, especially when preoperative diagnosis was uncertain [12, 55, 58, 65, 78]. Some cases of subtotal gastrectomy are also reported [21, 36, 51, 54].…”

Section: Discussionmentioning

confidence: 99%

Glomus Tumor of the Stomach: A Systematic Review and Illustrative Case Report

Pansa

Samà

Ruspi

et al. 2022

Dig Dis

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Introduction: Glomus tumor (GT) is a rare mesenchymal neoplasm that can be found anywhere throughout the body, including the stomach. Our goal was to present a case and a systematic review of the literature, reporting clinical, radiological, surgical, and pathological features of the disease. Methods: We reviewed Pubmed and SCOPUS for all case reports and case series published after 2000. Papers written in languages different from English and letters to the editor were excluded. Screening and data extraction were performed following the PRISMA guidelines. Results: A total of 89 studies were included in the systematic review, consisting of 187 cases of gastric glomus tumor. Mean age was 52 (18–90); most patients were female (61%). The most common clinical presentation was epigastric pain (33.9% of cases). The gastric antrum was the most frequently involved site (75.3%). Mean tumor size was 2.82 cm (0.8–17). Preoperative diagnosis was achieved in 22 cases, mostly by endoscopic ultrasound (EUS)-guided biopsy. Wedge resection was performed in 62% of treated patients. Smooth muscle actin was expressed in all cases with available immunohistochemistry. Malignant GT was reported in 11 cases. Discussion: Epigastric pain and bleeding were the most common symptoms at presentation in patients with diagnosis of glomus tumor. EUS-guided fine needle aspiration can be useful for preoperative diagnosis. Endoscopic elastosonography is a promising tool for the differential diagnosis of gastric submucosal lesions, including glomus tumors. The treatment of choice is wedge resection with adequate free margins. A laparoscopic approach is warranted when technically feasible. Since malignant gastric GTs have been described, long-term follow-up is suggested after surgical excision.

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Section: Discussionmentioning

confidence: 99%

Glomus Tumor of the Stomach: A Systematic Review and Illustrative Case Report

Pansa

Samà

Ruspi

et al. 2022

Dig Dis

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“…Glomus tumors of the gastrointestinal tract are relatively rare and more common in the stomach. Most gastric glomus tumors are benign and are occasionally found as subepithelial lesions[ 1 , 2 ]. Endoscopic ultrasound is currently more and more widely used in clinical practice, but there is little understanding of the endoscopic ultrasound manifestations of gastric glomus tumors, and their characteristics.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic ultrasonography diagnosis of gastric glomus tumors

Bai¹,

Mao²,

Li³

et al. 2021

WJCC

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BACKGROUND A gastric glomus tumor is relatively rare, and there is little knowledge on its endoscopic ultrasound findings. AIM To assess the accuracy of endoscopic ultrasonography (EUS) in the diagnosis of gastric glomus tumor and to discuss its value by reviewing the literature. METHODS A retrospective analysis of the EUS characteristics of gastric glomus tumor (such as tumor location, shape, size, echogenicity, homogeneity, margins, layer of origin, and so on) was performed. The study included 12 cases of gastric glomus tumor confirmed by surgery and pathology (7 females and 5 males, age range 36-74 years, average age was 58.2 years). RESULTS All the lesions were located in the gastric antrum (12 cases), protruding into the cavity, with a diameter between 1 and 3.5 cm. Glomus tumor of the stomach manifested as a circumscribed and slightly hypoechoic mass in the fourth layer, with an internal heterogeneous echo mixed with hyperechogenic spots and a marginal more hypoechoic halo. Smooth muscle actin, h-caldesmon and vimentin were shown to be positive by immunohistochemistry. CONCLUSION Although glomus tumor of the stomach is relatively rare, a typical glomus tumor of the stomach has characteristic changes under EUS.

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Gastric glomus tumor: a rare case of dyspepsia

Cited by 2 publications

References 5 publications

Glomus Tumor of the Stomach: A Systematic Review and Illustrative Case Report

Glomus Tumor of the Stomach: A Systematic Review and Illustrative Case Report

Endoscopic ultrasonography diagnosis of gastric glomus tumors

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