Year 2024 / Volume 116 / Number 10
Letter
Upper abdominal pain in a young female treated by endoscopic submucosal dissection

571-572

DOI: 10.17235/reed.2024.10375/2024

Qianqian Li, Weiwei Chen, Lei Chen, Zhen Zhu,

Abstract
A previously healthy 39-year-old woman was hospitalized with upper abdominal pain for 1-month duration. A semipedunculated protrusion with smooth surface was found at the gastric angle measuring 2.0 × 2.5-cm by gastroscopy. Endoscopic ultrasound (EUS) showed a hypoechoic mass originated from the mucosal layer. Abdominal computed tomography (CT) revealed a circular pedunculated and slightly low-density mass with mild enhancement in the stomach cavity. Endoscopic submucosal dissection (ESD) was performed. Postoperative histopathology examination revealed the tumor was composed of proliferated spindle cells with eosinophil infiltration which were around small blood vessels and mucosal glands arranged in an “onion-skin” appearance. Immunohistochemical analysis of the spindle cells showed CD34 was positive and CD117, S100, DOG-1, SMA, Desmin were negative. The patient was diagnosed as gastric inflammatory fibroid polyp (IFP) and no symptoms was observed in 12 months follow-up.
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References
1.VANEK J. Gastric submucosal granuloma with eosinophilic infiltration. Am J Pathol. 1949;25(3):397-411. PMID: 18127133
2.HELWIG EB, RANIER A. Inflammatory fibroid polyps of the stomach. Surg Gynecol Obstet. 1953;96(3):335-67. PMID: 13038651
3.Watahiki Y, Hikichi T, Watanabe K, et al. A case of inflammatory fibroid polyp of the stomach with an "erect penis like appearance" successfully removed by endoscopic submucosal dissection. Clin J Gastroenterol. 2019;12(3):279-284. DOI: 10.1007/s12328-019-00935-5.
4.Nagao S, Tsuji Y, Sakaguchi Y, et al. Inflammatory fibroid polyp mimicking an early gastric cancer. Gastrointest Endosc. 2020;92(1):217-218. DOI: 10.1016/j.gie.2020.02.007
5.Dias E, Marques M, Santos-Antunes J, et al. The role of endoscopic submucosal dissection in the management of gastric inflammatory fibroid polyps: a single-center experience. Rev Esp Enferm Dig. 2022;114(10):592-598. DOI: 10.17235/reed.2021.8347/2021
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Li Q, Chen W, Chen L, Zhu Z. Upper abdominal pain in a young female treated by endoscopic submucosal dissection. 10375/2024


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Publication history

Received: 29/02/2024

Accepted: 05/03/2024

Online First: 12/03/2024

Published: 09/10/2024

Article Online First time: 12 days

Article editing time: 223 days


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