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Calcified gastric leiomyoma--a case report
The Japanese Journal of Surgery
|January 1, 1981
Summary
A calcified leiomyoma, a rare stomach tumor, caused epigastric pain and swallowing difficulty in a 62-year-old man. Surgical removal confirmed the diagnosis, highlighting this unusual presentation of a benign gastric neoplasm.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Oncology
Background:
- Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasms of the stomach.
- Leiomyomas, a subtype of GISTs, are typically benign but can occasionally cause symptoms due to their size or location.
- Calcification within a leiomyoma is an uncommon finding, often associated with degenerative changes.
Observation:
- A 62-year-old male presented with epigastric pain and dysphagia.
- Upper gastrointestinal endoscopy revealed a calcified mass causing a smooth filling defect at the gastric cardia.
- Laparotomy identified a subserosal gastric tumor measuring 4 x 4 x 1.6 cm.
Findings:
- Pathological examination confirmed the excised tumor as a calcified leiomyoma.
- The calcification was attributed to degenerative processes within the tumor's cytoplasm.
- This case highlights an unusual manifestation of a benign gastric neoplasm.
Implications:
- Calcified leiomyomas, though rare, should be considered in the differential diagnosis of gastric masses presenting with obstructive symptoms.
- Accurate preoperative diagnosis and surgical management are crucial for symptomatic leiomyomas.
- Further research into the specific mechanisms of calcification in leiomyomas may offer insights into tumor degeneration.