A Giant Gastric Lipoma

Ana Isabel Oliveira, Vitor Neves Lopes, Jose Pedro Barbosa, Elisabete Barbosa, Jose Barbosa
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Abstract

Case Report: We present a clinical case of a woman, 59 years old, with a history of papillary thyroid carcinoma with cervical metastases, asymptomatic. During the follow-up of the carcinoma, a large lipomatous formation was detected in the lesser curvature of the stomach, well circumscribed, in the submucosa. A complementary study was carried out with upper digestive endoscopy (UDE) and ecoendoscopy. The UDE confirmed a lesion on the lesser curvature, covered by normal mucosa, raising suspicion of a gastrointestinal stromal tumor (GIST) or lipoma. However, the biopsy of the lesion did not reveal signs of malignancy. The patient was then proposed for surgery. The patient underwent laparoscopic surgery for extramucosal enucleation of a gastric lipoma measuring 8.5 cm, with resection of the adherent mucosa. The postoperative period was uneventful, with discharge on the 5th day. The anatomopathological examination revealed that it was a well-differentiated lipomatous tumor, negative for the MDM2 gene.
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巨大胃脂肪瘤
病例报告:我们提出一个临床病例的妇女,59岁,有甲状腺乳头状癌的历史,宫颈转移,无症状。在癌的随访中,在胃粘膜下层的胃小弯处发现了一个大的脂肪瘤形成,边界清楚。采用上消化道内窥镜(UDE)和生态内窥镜进行了补充研究。超声检查证实小弯曲处病变,被正常粘膜覆盖,怀疑为胃肠道间质瘤或脂肪瘤。然而,活检的病变没有显示恶性肿瘤的迹象。然后建议患者进行手术。患者行腹腔镜下胃脂肪瘤粘膜外去核术,直径8.5 cm,并切除附着粘膜。术后顺利,第5天出院。解剖病理检查显示为高分化脂肪瘤,MDM2基因阴性。
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来源期刊
Surgery, Gastroenterology and Oncology
Surgery, Gastroenterology and Oncology Medicine-Gastroenterology
CiteScore
0.30
自引率
0.00%
发文量
11
期刊介绍: Starting with this issue "Annals of Fundeni Hospital", founded in 1996 as the scientific journal of the prestigious hospital Fundeni becomes "Journal of Translational Medicine and Research" (JTMR), an Journal of the Academy of Medical Sciences of Romania. Therefore, an 18 years old Journal, attested and indexed in Elsevier Bibliographic Databases, Amsterdam and also indexed in SCOPUS, is continuing a tradition of excellence that lasted almost two decades. The new title of the Journal is inspired first of all from the important developments of translational research In Fundeni Clinical Institute and the "C.C Iliescu Institute for Cardio-Vascular Diseases", in parallel with the national and international trend to promote and develop this important area or medical research. Although devoted mainly to translational research, JTMR will continue to promote both basic and clinical research.
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