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Granular Cell Tumour in Stomach: a Case Report
Aleena Jain1, Manjusha Karegar1, Amita Joshi1
1Department of Pathology, Seth GSMC & KEMH, Parel, Mumbai-12, India.
Indian Journal of Surgical Oncology
|December 13, 2018
Summary
Granular cell tumours are rare soft tissue neoplasms, often benign and originating from Schwann cells. This case highlights a gastric granular cell tumour in a young female, successfully treated with wide local excision.
Area of Science:
- Gastroenterology
- Oncology
- Surgical Pathology
Background:
- Granular cell tumours (GCTs) are uncommon soft tissue neoplasms, typically benign, with suspected neural (Schwann cell) origin.
- While GCTs can occur at various sites, their presentation within the gastrointestinal tract is rare, with the esophagus and large intestine being more common than the stomach.
Observation:
- A young female presented with a 3-month history of abdominal discomfort.
- Endoscopic examination revealed a gastric nodule in the body of the stomach.
- Microscopic examination of the biopsy confirmed a granular cell tumour, supported by positive immunohistochemical staining for S100 and CD68.
Findings:
- The diagnosis of a gastric granular cell tumour was established through endoscopic biopsy and confirmed by immunohistochemistry.
- The patient underwent wide local excision of the gastric tumour.
- At a 6-month follow-up, the patient remained asymptomatic, indicating successful treatment.
Implications:
- Endoscopic biopsy is crucial for diagnosing gastric granular cell tumours.
- Wide local excision is considered an adequate surgical treatment for non-malignant gastric granular cell tumours.
- This case underscores the importance of considering rare diagnoses in the stomach, even with atypical presentations.
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