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Updated: May 30, 2026
10:31
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
Gastric adenomyoma
Mirko D Kerkez1, Nebojsa S Lekić, Djordje M Culafić
1University of Belgrade, School of Medicine, Clinical Center of Serbia, Clinic of Surgery, Belgrade, Serbia.
Vojnosanitetski Pregled
|August 9, 2011
Summary
Gastric adenomyoma, a rare tumor, was diagnosed in a 72-year-old woman. Early diagnosis and surgical removal are vital due to its uncertain malignant potential.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Gastric adenomyoma is a rare hamartomatous tumor typically found in the gastric antrum.
- Literature review reveals limited case reports and small series, highlighting its rarity.
Observation:
- A 72-year-old woman presented with epigastric pain and dyspeptic symptoms.
- Diagnostic imaging identified an intramural tumor in the gastric antrum, inaccessible for biopsy.
- Surgical extirpation was performed, revealing adenomyoma with focal low-grade epithelial dysplasia.
Findings:
- Histopathology confirmed gastric adenomyoma with specific immunophenotype (CK7 and CK20 ++).
- Low proliferative index (Ki-67: 3%) and minimal p53 expression (<0.1%) were noted in both epithelial and stromal components.
- The patient recovered well following surgical tumor removal.
Implications:
- The uncertain malignant potential of gastric adenomyoma necessitates prompt diagnosis.
- Adequate surgical intervention is crucial for effective management of gastric adenomyoma.
- This case underscores the importance of comprehensive diagnostic workup and surgical treatment for rare gastric tumors.
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