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Gastric Angiomyolipoma Masquerading as Gastric Malignancy
Divya Achutha Ail1, Roopa Rachel Paulose1, Abhijit Kalitha1
1Department of Pathology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
ACG Case Reports Journal
|January 16, 2019
Summary
Gastric angiomyolipoma (AML) is a rare stomach tumor. This report details the largest case to date, a 9 cm tumor causing upper gastrointestinal bleeding.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Oncology
Background:
- Gastric angiomyolipoma (AML) is an exceptionally rare mesenchymal tumor.
- Fewer than four cases have been documented in English literature.
- Reported cases primarily manifest as upper gastrointestinal bleeding.
Observation:
- A 42-year-old male patient presented with symptoms of upper gastrointestinal hemorrhage.
- Diagnostic imaging revealed a substantial mass within the stomach.
- The tumor measured 9 × 6 × 5 cm, making it the largest reported gastric AML.
Findings:
- Histopathological examination confirmed the gastric mass as an angiomyolipoma.
- The tumor's size and presentation are notable given its rarity.
- This case represents the fourth documented instance of gastric AML.
Implications:
- Highlights the potential for large gastric AMLs to cause significant gastrointestinal bleeding.
- Underscores the importance of considering rare tumors in the differential diagnosis of upper GI bleeds.
- Contributes to the limited existing literature on gastric angiomyolipomas, aiding future research and clinical management.
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