Case Report
Copyright ©2010 Baishideng. All rights reserved
World J Gastroenterol. Apr 21, 2010; 16(15): 1934-1936
Published online Apr 21, 2010. doi: 10.3748/wjg.v16.i15.1934
Gastric adenomyoma presenting as melena: A case report and literature review
Hui-Neng Zhu, Jiang-Ping Yu, Juan Luo, You-Hua Jiang, Jian-Qiang Li, Wen-Yong Sun
Hui-Neng Zhu, Juan Luo, Wen-Yong Sun, Department of Pathology, Zhejiang Cancer Hospital, Hangzhou 310022, Zhejiang Province, China
Jiang-Ping Yu, Gastroduodenoendoscopy Room, Zhejiang Cancer Hospital, Hangzhou 310022, Zhejiang Province, China
You-Hua Jiang, Jian-Qiang Li, Department of Thoracicoabdominal Surgery, Zhejiang Cancer Hospital, Hangzhou 310022, Zhejiang Province, China
Author contributions: Jiang YH and Li JQ performed the surgery and clinical care of the patient; Zhu HN wrote the manuscript; Sun WY revised the manuscript; Yu JP and Luo J organized the patient’s data and figures.
Correspondence to: Dr. Wen-Yong Sun, Department of Pathology, Zhejiang Cancer Hospital, 38 Guangji Road, Banshan Bridge, Hangzhou 310022, Zhejiang Province, China. fly_007007@126.com
Telephone: +86-571-88122266 Fax: +86-571-88122261
Received: January 11, 2010
Revised: February 20, 2010
Accepted: February 27, 2010
Published online: April 21, 2010
Abstract

Gastric adenomyoma (AM) is a rare benign tumor characterized by gland-like structures embedded within a smooth muscle stroma. We report a case of a 68-year-old man with gastric AM admitted to our hospital for melana. Endoscopic examination revealed a gastric mass of about 4 cm in diameter, located in the antrum. Histologic examination of the excised specimen showed irregularly arranged glands and interlacing smooth muscle bundles surrounding the glandular elements. Although gastric AM is rare, it should be considered in differential diagnosis of extramucosal gastric tumor.

Keywords: Adenomyoma, Stomach, Melana, Histopathology, Endoscopic examination