Case Report
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World J Gastroenterol. Feb 28, 2013; 19(8): 1327-1329
Published online Feb 28, 2013. doi: 10.3748/wjg.v19.i8.1327
Glomus tumor in the stomach: Computed tomography and endoscopic ultrasound findings
Min Tang, Jun Hou, Dong Wu, Xin-Ye Han, Meng-Su Zeng, Xiu-Zhong Yao
Min Tang, Dong Wu, Xin-Ye Han, Meng-Su Zeng, Xiu-Zhong Yao, Department of Radiology, Zhongshan Hospital of Fudan University, Shanghai 200032, China
Min Tang, Dong Wu, Xin-Ye Han, Meng-Su Zeng, Xiu-Zhong Yao, Department of Medical Image, Shanghai Medical College of Fudan University, Shanghai 200032, China
Jun Hou, Department of Pathology, Zhongshan Hospital of Fudan University, Shanghai 200032, China
Author contributions: Wu D and Zeng MS approved the final version to be published; Han XY revised the overall language; Hou J provided the figures and discussion of the pathology; Yao XZ revised the report critically for important intellectual content; and Tang M designed and wrote the case report.
Supported by National Natural Science Foundation of China, No. 30901228
Correspondence to: Meng-Su Zeng, MD, PhD, Department of Radiology, Zhongshan Hospital of Fudan University, No. 138, Fenglin Road, Xuhui District, Shanghai 200032, China. zeng.mengsu@zs-hospital.sh.cn
Telephone: +86-21-64041990 Fax: +86-21-64439906
Received: September 26, 2012
Revised: January 21, 2013
Accepted: January 23, 2013
Published online: February 28, 2013
Processing time: 155 Days and 17.5 Hours
Abstract

A 57-year-old man presented with intermittent dull abdominal pain after a period of 1 year. Abdominal computed tomography (CT) was performed. Except for the endoscopy, the work-up for possible medical causes remained inconclusive. An open-abdomen, partial surgical excision of the stomach was performed after the unsuccessful endoscopic resection. The pathology report revealed a glomus tumor of the stomach. Importantly, glomus tumors of the stomach are rare and are almost always benign. Therefore, the most important current role of imaging associated with the diagnostic approach and therapeutic plan for a glomus tumor is to differentiate it from other gastric submucosal tumors (SMTs). We report this case with representative radiologic findings, including CT and endoscopic ultrasound (EUS) reports, and also correlate them with clinical and pathologic presentations that can help in the early detection and differentiation of gastric SMTs from other SMTs. As such, the purpose of this report is to provide a better understanding of relevant CT and EUS features. Alternative treatments should be considered carefully according to the imaging results.

Keywords: Glomus tumor; Stomach; Diagnosis; Therapy