Año 2023 / Volumen 115 / Número 10
Carta
Endoscopic submucosal dissection of a rare antral mass: gastric fibrolipoma

588-589

DOI: 10.17235/reed.2023.9581/2023

Yuxuan Tang, Li Zhang, Xiufan Ni, Sujun Gao, Jian Yin, Lei Chen, Zhen Zhu,

Resumen
A 60-year-old man was hospitalized with upper abdominal pain for 2-month duration. He had no previous history of symptoms related to his upper gastrointestinal tract. Physical examination was unremarkable. A semicircular round mass with smooth surface was found at the gastric antrum measuring 2.0 × 2.0-cm by gastroscopy. Endoscopic ultrasound (EUS) demonstrated a heterogeneous hyperechoic mass originated from the submucosal layer. Abdominal computed tomography (CT) revealed a fat-density mass with internal mixed density at the gastric antrum. His complete blood test, liver, renal, coagulation function and tumor markers were within reference values. Endoscopic submucosal dissection (ESD) was performed. Postoperative histopathology examination revealed the tumor was composed of closely arranged proliferating mature adipocytes with consistent size and shape. Collagen fiber hyperplasia between adipocytes was found in focal area. The patient was diagnosed as gastric fibrolipoma. He was discharged home uneventful and no symptoms was found in 12 months follow-up.
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Bibliografía
1. Kohashi T, Itamoto T, Fukuda S, et al. A gastric fibrolipoma presenting as acute gastrointestinal hemorrhage. Hiroshima J Med Sci 2006;55:121-123. PMID: 17274543
2. Tan Y, Liu D. Endoscopic submucosal dissection for a gastric fibrolipoma. Rev Esp Enferm Dig. 2016;108:54-55. PMID: 26765242.
3. Ferrozzi F, Tognini G, Bova D, et al. Lipomatous tumors of the stomach: CT findings and differential diagnosis. J Comput Assist Tomogr. 2000;24(6):854-858. DOI: 10.1097/00004728-200011000-00006.
4. Hsu JS, Kang WY, Liu GC, et al. Giant fibrolipoma in the mediastinum: an unusual case. Ann Thorac Surg 2005;80:e10-12. DOI: 10.1016/j.athoracsur.2005.05.061.
5. Jian G, Tan L, Wang H, et al. Factors that predict the technical difficulty during endoscopic full-thickness resection of a gastric submucosal tumor. Rev Esp Enferm Dig. 2021;113(1):35-40. DOI: 10.17235/reed.2020.7040/2020.
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Instrucciones para citar
Tang Y, Zhang L, Ni X, Gao S, Yin J, Chen L, et all. Endoscopic submucosal dissection of a rare antral mass: gastric fibrolipoma. 9581/2023


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Ficha Técnica

Recibido: 07/03/2023

Aceptado: 12/03/2023

Prepublicado: 17/03/2023

Publicado: 09/10/2023

Tiempo de prepublicación: 10 días

Tiempo de edición del artículo: 216 días


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