Year 2023 / Volume 115 / Number 10
Letter
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,

Abstract
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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References
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.
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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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Publication history

Received: 07/03/2023

Accepted: 12/03/2023

Online First: 17/03/2023

Published: 09/10/2023

Article Online First time: 10 days

Article editing time: 216 days


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