Nadir bir gastrointestinal kanama nedeni:  Midenin glomus t�m�r�

Tavusbay, Cengiz; Gen�, H�dai; Hac�yanl�, Mehmet; G�r, �zlem Say�n; Ekinci, Ne�e

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Nadir bir gastrointestinal kanama nedeni: Midenin glomus t�m�r� [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2009; 15(1): 85-87

Nadir bir gastrointestinal kanama nedeni: Midenin glomus t�m�r�

Cengiz Tavusbay¹, H�dai Gen�¹, Mehmet Hac�yanl�¹, �zlem Say�n G�r¹, Ne�e Ekinci²
¹�zmir Atat�rk E�itim ve Ara�t�rma Hastanesi 2. Genel Cerrahi Klini�i, �zmir
²�zmir Atat�rk E�itim ve Ara�t�rma Hastanesi Patoloji B�l�m�, �zmir

Glomus t�m�rleri genellikle ekstremitelerde g�r�len, selim seyirli yumu�ak doku t�m�rleridir, gastrointestinal sistem (G�S), �rogenital ve solunum sistemi gibi v�cudun di�er k�s�mlar�nda daha seyrek rastlan�l�r. G�S�de g�r�len glomus t�m�rlerinin �o�u midenin antrum k�sm�nda yerle�im g�sterir. �o�u k��kt�r (genellikle <4 cm) ancak bazen daha b�y�k olabilir. Bu yaz�da, 2 aydan beri aral�kl� olarak bulant�, kusma, hematemez ve melena yak�nmalar� ile ba�vuran 31 ya��ndaki kad�n hastada saptanan, bir mide glomus t�m�r olgusu sunuldu. �st G�S endoskopisinde prepilorik b�lgede, �zeri �lsere, submukozal lezyon olarak tan� konuldu. Hastaya, lezyonu i�erecek tarzda parsiyel gastrektomi ameliyat� uyguland�. Glomus t�m�r�n�n tan�s� imm�nohistokimyasal de�erlendirme ile de teyit edildi. Glomus t�m�r� iyi huyludur ve radikal bir cerrahi prosed�r gerektirmedi�inden en �nemli yan� histolojik tan�s�n�n konulmas� ve midenin s�k g�r�len di�er lezyonlar�ndan �zellikle de k�t� huylu t�m�rlerinden ay�rt edilmesidir.

Anahtar Kelimeler: Glomus t�m�r�; mide.

Glomus tumor of the stomach: a rare cause of upper gastrointestinal bleeding

Cengiz Tavusbay¹, H�dai Gen�¹, Mehmet Hac�yanl�¹, �zlem Say�n G�r¹, Ne�e Ekinci²
¹2nd Department of General Surgery, �zmir Atat�rk Training and Research Hospital, �zmir, Turkey
²Department of Pathology, �zmir Atat�rk Training and Research Hospital, �zmir, Turkey

Glomus tumors are benign soft tissue neoplasms that usually arise in the skin of the extremities; however, those tumors are sometimes located in other sites such as gastrointestinal (GIS), respiratory, and genital tracts. Gastrointestinal glomus tumors are mostly located in the gastric antrum. The most are small (<4 cm), but a few can be enormous. Herein, we report a case of a glomus tumor of the stomach in a 31-year-old female patient who presented with intermittent nausea, vomiting, hematemesis and melena for 2 months. On upper GIS endoscopy, submucosal lesion with ulceration was found in the prepyloric area. Partial gastrectomy including the lesion was performed. Immunohistochemical examination showed the glomus tumor. Since the glomus tumor is essentially benign and does not need a radical surgical procedure, the most important aspect of this tumor is its histologic identification and differentiation from more common gastric lesions, especially from malignant tumors.

Keywords: Glomus tumor; stomach.

Sorumlu Yazar: Cengiz Tavusbay, T�rkiye
Makale Dili: T�rk�e

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