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ID 34938
file
creator
Kohashi, Toshihiko
Itamoto, Toshiyuki
Fukuda, Saburo
Yamasaki, Hiroyuki
Yokoya, Hitoshi
Yonehara, Shuji
Suzuki, Tsuyoshi
subject
Fibrolipoma
Gastrointestinal hemorrhage
Endoscopic ultrasonography
NDC
Medical sciences
abstract
A 56-year-old woman was admitted to our hospital with upper gastrointestinal hemorrhage from a gastric submucosal tumor that was treated by a laparoscopic technique. Endoscopy and endoscopic ultrasonography (EUS) revealed a 2-cm submucosal tumor located in the posterior wall of the upper gastric body, showing a heterogeneous hyperechoic tumor. A laparoscopic wedge resection of the stomach was performed. Pathological examinations revealed that the tumor was composed of spindle cells like fibroblasts and mature adipocytes. Immunohistochemical examinations revealed that the tumor was negative for desmin and α-smooth muscle actin. Based on these findings, a diagnosis of fibrolipoma was made. EUS is useful for differentiating a fibrolipoma from a gastrointestinal stromal tumor or lipoma by the findings of characteristic echogenesity and detection of the tumor origin.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 55
issue
Issue 4
start page
121
end page
123
date of issued
2006-12
publisher
Hiroshima University Medical Press
issn
0018-2052
ncid
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
rights
(c) Hiroshima University Medical Press.
department
Graduate School of Biomedical Science
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