A case report of laparoscopy endoscopy cooperation surgery for a glomus tumor of the stomach Kosuke JIKEI 1 , Eiji HAYASHI 1 , Yoko TANIMURA 1 , Takeo KAWAHARA 1 , Tetsuo TSUKAHARA 1 , Tetsuro KATO 1 1Department of Surgery, Japan Community Health Care Organization Chukyo Hospital Keyword: 腹腔鏡・内視鏡合同胃局所切除術 , 胃粘膜下腫瘍 , glomus腫瘍 pp.609-615
Published Date 2018/9/15
DOI https://doi.org/10.11477/mf.4426200600
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 A 55-year-old woman was admitted to the hospital for upper abdominal pain. She was a known case of collagen disease. Abdominal computed tomography and upper gastrointestinal endoscopy showed a 20-mm submucosal tumor in the major curvature of the pyloric area. Fine-needle aspiration biopsy was performed and epithelial cell type gastrointestinal stromal tumor or glomus tumor was suspected based on the results. Laparoscopic and endoscopic cooperation surgery was performed under general anesthesia. The tumor margin was incised endoscopically and the serosal muscle layer was laparoscopically resected. After removing the tumor, the stomach wall was closed with an automatic suturing device. Immunostaining of the resected specimens showed negative results for c-kit, S-100, Desmin, and PDGFRα gene mutation. These findings were compatible with a diagnosis of glomus tumor. The postoperative course was uneventful, and the patient was discharged on the ninth postoperative day. Glomus tumor of the stomach is relatively rare, but there are a few reports of metastasis. Therefore, this procedure was considered effective and reasonable.

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