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Plexiform Fibromyxoma of the Stomach

  • Yu-pu Hong
  • Jia Yu
  • Chen-yang Wang
  • Ying-ru Su
  • Chen Chen
  • Wen-hong DengEmail author
  • Wei-xing WangEmail author
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Case Presentation

A 20-year-old female presented with intermittent epigastric pain for a week and tarry stool for 3 days, associated with weakness and palpitation. Then, she was admitted and underwent esophagogastroduodenoscopy that demonstrated a large protruding lesion located at gastric antrum with hemorrhage, multiple duodenal bulbar ulcers, and gastric retention (Fig.  1). The patient’s physical exam was unremarkable. She had a past history of autonomic nervous system dysfunction. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) scan revealed a mass located at the gastric antrum of the lesser curvature and protruding into the gastric cavity (Fig.  1). Laboratory tests revealed a moderate normocytic anemia (hemoglobin, 63 g/L) and decrease of fibrinogen (1.65 g/L) and albumin (33.20 g/L). The fecal occult blood test was positive, consistent with her history of tarry stool. Decreases of serum pepsinogen I (28 ng/mL) and pepsinogen I to pepsinogen II ratio...

Keywords

Gastrointestinal mesenchymal tumor Plexiform fibromyxoma Surgery 

Notes

Authors’ Contributions

YH contributed to the acquisition, analysis, and interpretation of patient data and the drafting of the manuscript. JY, CW, YS, and CC contributed to the acquisition of patient data and the finalizing of the manuscript, and WD and WW gave the final approval of the article. All authors have read and approved the final manuscript.

Funding

This work was supported by grants from the National Natural Science Foundation of China (Nos. 81870442, 81800574, and 81700567).

Compliance with Ethical Standards

Consent for Publication

The patient provided informed consent for the publication of this report and any accompanying images.

Competing Interests

The authors declare that they have no competing interests.

References

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    Spans L, Fletcher CD, Antonescu CR, Rouquette A, Coindre JM, Sciot R et al. Recurrent MALAT1-GLI1 oncogenic fusion and GLI1 up-regulation define a subset of plexiform fibromyxoma. The Journal of pathology. 2016;239(3):335–43. doi: https://doi.org/10.1002/path.4730.CrossRefGoogle Scholar
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    Fukazawa M, Koga H, Hiroshige S, Matsumoto T, Nakazono Y, Yoshikawa Y. Pediatric plexiform fibromyxoma: A PRISMA-compliant systematic literature review. Medicine. 2019;98(3):e14186. doi: https://doi.org/10.1097/MD.0000000000014186.CrossRefGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2019

Authors and Affiliations

  1. 1.Department of General SurgeryWuhan University Renmin HospitalWuhanPeople’s Republic of China

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