Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2024; 12(1): 176-179
Published online Jan 6, 2024. doi: 10.12998/wjcc.v12.i1.176
Gastric IgG4-related disease mimicking a gastrointestinal stromal tumor in a child: A case report
Hsin-Chia Angela Lin, Kam-Fai Lee, Tzu Hao Huang
Hsin-Chia Angela Lin, Tzu Hao Huang, Division of General Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chiayi 613, Taiwan
Kam-Fai Lee, Department of Anatomic Pathology, Chang Gung Memorial Hospital, Chiayi 613, Taiwan
Author contributions: Lin HCA drafted the manuscript and performed the data collection; Lee KF performed the data analysis and interpretation; Huang TH reviewed and revised the manuscript; all authors approved the final manuscript as submitted.
Informed consent statement: Consent was obtained from the patient for publication of their anonymized case and accompanying images.
Conflict-of-interest statement: The authors declare having no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tzu Hao Huang, MD, Surgeon, Surgical Oncologist, Division of General Surgery, Department of Surgery, Chang Gung Memorial Hospital, No. 6 Sec. West Chia-Pu Road, Chiayi 613, Taiwan. tambobo8916@gmail.com
Received: September 24, 2023
Peer-review started: September 24, 2023
First decision: November 16, 2023
Revised: November 28, 2023
Accepted: December 20, 2023
Article in press: December 20, 2023
Published online: January 6, 2024
Processing time: 99 Days and 17.2 Hours
Core Tip

Core Tip: Gastric IgG4-related disease (IgG4-RD) is rarely encountered in clinical practice, especially among pediatric patients. To our knowledge, this is the first report of IgG4-RD presenting as a gastric calcifying mass in a child. This entity was difficult to differentiate from a gastrointestinal stromal tumor by imaging-based approaches. Therefore, it is important to consider IgG4-RD in the differential diagnosis of gastric tumor before performing surgical resection, especially to distinguish it from malignancy and avoid non-essential surgery.