Year 2022 / Volume 114 / Number 6
Letter
Endoscopic submucosal dissection of gastric plexiform fibromyxoma, an alternative to the traditional approach

367-368

DOI: 10.17235/reed.2022.8601/2022

Eduardo Junquera Alonso, Marina Terroba Alonso, Carolina Cerrella Cano, Carmen Elisa Cáceres Pieter, Leire Parapar Álvarez, Lucía Seoane Blanco, Gustavo Pérez Álvarez, Daniel Pérez Corte,

Abstract
We report the case of a 62-year-old woman with no history of interest who presented with dyspepsia of 2 years’ standing. Gastroscopy revealed a subepithelial lesion at the greater antral curvature with irregular surface and preserved mucosal and vascular pattern, 15 mm in diameter. Because of clinical persistence a radial endoscopic ultrasonogram (EUS) was performed, which showed a well-delimited hypoechoic lesion with heterogeneous areas that was dependent on the muscularis mucosae layer. A biopsy was obtained using the “bite-on-bite” technique, which provided no pathological findings. With these findings an endoscopic submucosal dissection (ESD) procedure was performed with wide margins and no complications. Pathology found low-grade mesenchymal fusicellular proliferation dependent on the muscularis mucosae with immunohistochemistry positive for smooth-muscle vimentin and actin, consistent with plexiform fibromyxoma.
Share Button
New comment
Comments
No comments for this article
References
1. Magadán C, Olmos JM , Toledo E, et al. Fibromixoma plexiforme gástrico, un tumor mesenquimal infrecuente. REV ESP ENFERM DIG 2021:113(3):183-185 DOI: 10.17235/reed.2020.7048/2020
2. Hu G, Chen H, Liu Q, et al. Plexiform fibromyxoma of the stomach: a clinicopathological study of 10 cases. Int J Clin Exp Pathol. 2017 Nov 1; 10(11):10926 10933.
3. Banerjee S, de la Torre J, Burgoyne AM, et al. Gastric plexiform fibromyxoma. J Gastrointest Surg. 2019 Sep; 23(9): 1936–1939. DOI: 10.1007/s11605-019-04132-0. DOI: 10.1007/s11605-019-04132-0
4. Kim SM, An JY, Choi MG, et al. Plexiform angiomyxoid myofibroblastic tumor of the stomach: a rare case. J Gastric Cancer 2017;17(3):277-81.DOI: 10.5230/jgc.2017.17.e22
5. Kawara F, Tanaka S, Yamasaki T, et al. Gastric plexiform fibromyxoma resected by endoscopic submucosal dissection after observation of chronological changes: A case report. World J Gastrointest Oncol. 2017 Jun 15;9(6):263-267. DOI: 10.4251/wjgo.v9.i6.263.
Related articles

Letter

Duodenal lymphangiomas: endoscopic ultrasound features

DOI: 10.17235/reed.2024.10338/2024

Letter

A case of achalasia associated with early esophageal cancer

DOI: 10.17235/reed.2024.10177/2023

Letter

An early-stage primary signet ring cell carcinoma of the colon

DOI: 10.17235/reed.2023.10016/2023

Digestive Diseases Image

Sustained silence of a small signet ring cell carcinoma

DOI: 10.17235/reed.2023.9891/2023

Digestive Diseases Image

Imaging of pancreatic desmoid fibromatosis by endoscopic ultrasound

DOI: 10.17235/reed.2023.9792/2023

Letter

Pseudo-submucosal tumor in the colon: seeing is believing

DOI: 10.17235/reed.2023.9773/2023

Digestive Diseases Image

Endoscopic submucosal dissection of an anorectal Condyloma acuminatum

DOI: 10.17235/reed.2023.9622/2023

Digestive Diseases Image

Endosonographic and ERCP findings in COVID-19 critical illness cholangiopathy

DOI: 10.17235/reed.2022.9218/2022

Letter

Angiosarcoma of the aorta diagnosed via endoscopic ultrasound

DOI: 10.17235/reed.2022.8879/2022

Digestive Diseases Image

Pancreatic lymphoma during pregnancy

DOI: 10.17235/reed.2022.8811/2022

Digestive Diseases Image

When needles are not enough, forceps delivers!

DOI: 10.17235/reed.2022.8697/2022

Letter

Successful endoscopic removal of a giant duodenal bulb mass

DOI: 10.17235/reed.2022.8595/2022

Letter

Lumen-apposing metal stent deployment failure

DOI: 10.17235/reed.2020.7060/2020

Original

Gastric plexiform fibromyxoma, an uncommon mesenchymal tumor

DOI: 10.17235/reed.2020.7048/2020

Editorial

Colorectal endoscopic submucosal dissection is here to stay

DOI: 10.17235/reed.2020.6960/2020

Letter

Sometimes things are what they seem

DOI: 10.17235/reed.2019.5911/2018

Letter

A giant abdominal collection: when things are not what they seem

DOI: 10.17235/reed.2018.5642/2018

Letter to the Editor

Late migration of a metal stent after EUS-drainage of a pancreatic pseudocyst abscess

DOI: 10.17235/reed.2018.5411/2017

Letter to the Editor

EUS-guided ethanol ablation therapy for gastric stromal tumors

DOI: 10.17235/reed.2017.5361/2017

Digestive Diseases Image

A rare mass in the duodenal bulb: Brunner’s glands cystadenoma

DOI: 10.17235/reed.2018.5344/2017

Letter to the Editor

A rectal neuroendocrine neoplasm

DOI: 10.17235/reed.2017.4836/2017

Letter to the Editor

Gastric neuroendocrine tumor presenting with gastrointestinal bleeding

DOI: 10.17235/reed.2015.3998/2015

Letter to the Editor

Endoscopic submucosal dissection for a gastric fibrolipoma

DOI: 10.17235/reed.2015.3982/2015

Review

Endoscopic ampullectomy: a technical review

DOI: 10.17235/reed.2016.3867/2015

Case Report

Pelvic inflammatory myofibroblastic tumor mimicking a rectal cancer

DOI: 10.17235/reed.2015.3777/2015

Citation tools
Junquera Alonso E, Terroba Alonso M, Cerrella Cano C, Cáceres Pieter C, Parapar Álvarez L, Seoane Blanco L, et all. Endoscopic submucosal dissection of gastric plexiform fibromyxoma, an alternative to the traditional approach. 8601/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1275 visits.
This article has been downloaded 63 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 13/01/2022

Accepted: 14/01/2022

Online First: 01/02/2022

Published: 07/06/2022

Article Online First time: 19 days

Article editing time: 145 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology