Gastric Glomus Tumor of Which Preoperative Diagnosis Could be Made, Report of a Case Osamu Satoh 1 , Takashi Ishizaki 2 , Masashi Gotoh 1 , Hiroko Ishikawa 1 , Fumishi Kooka 1 , Noboru Suzuki 1 , Mitsuru Ono 1 , Eiji Murata 3 1Department of Gastroenterology, Iwate Prefectural Central Hospital 2Department of Pathology, Iwate Prefectural Central Hospital 3Murata Gastroenterological Clinic pp.91-97
Published Date 1987/1/25
DOI https://doi.org/10.11477/mf.1403111958
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 The case is of a 33 year-old woman. From around January,1984, she began to feel discomfort with no definite site indicated. Because of deformation of the antrum discovered in stomach x-ray examinations at a certain clinic, she was referred to this hospital. Stomach x-ray and endoscopic examination revealed a semispherical elevated lesion with erosion on its surface on the side of greater curvature at the antrum. Histologic examination of the lesion by high frequency incision and hot biopsy revealed arrangement of round tumor cells with clear cytoplasm, several of which were enclosed by reticular fiber around dilated blood vessels, small and large. The case was diagnosed as glomus tumor.

 As far as we can ascertain, this is the 41st case in Japan and apparently it is the first case in Japan, of which normal diagnosis could be made preoperatively. At the request of the patient, gastrectomy was performed. The lesion was located at the antrum on the greater curvature; it measured 27×24×10 mm, extending from the lower layer of the mucosa to tunica muscularis. Electron microscopic examinations revealed no desmosomes between cells, but many mitochondria in the clear cytoplasm separated by the basement membrane and myofilament containing dense bodies.

Copyright © 1987, Igaku-Shoin Ltd. All rights reserved.


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