PMC9970792_01
Esophagogastroduodenoscopy (EGD) finding of a large hiatal hernia, gastritis, and a submucosal lesion seen in the gastric antrum along the anterior wall.. EGD - Esophagogastroduodenoscopy
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FIG1
Findings of a large hiatal hernia, gastritis, and a submucosal lesion were seen in the gastric antrum along the anterior wall, as depicted in Figure 1.
Endosonography (EUS) showing an 18.5 x 17.5 mm lesion in the gastric wall.
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FIG2
Endosonography showed an 18.5 x 17.5 mm lesion in the gastric wall from the muscularis propria, slightly hypoechoic with a heterogenous appearance, multiple vessels within the lesion, small area of cystic degeneration, as depicted in Figure 2.
Immunohistochemical stain with smooth muscle actin (SMA). Tumor cells show a strong positive cytoplasmic stain for SMA.
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FIG3
GGT was the finalized diagnosis after histology showing positive SMA and calponin, as seen in Figures 3-5.
H&E histology stain. The tumor comprises nests, or solid sleets of uniform cells with round nuclei and scant pink cytoplasm. Nuclear atypical and mitotic figures are absent.
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FIG4
GGT was the finalized diagnosis after histology showing positive SMA and calponin, as seen in Figures 3-5.
Immunohistochemical stain of synaptophysin. Tumor cells show moderate cytoplasmic stains for synaptophysin.
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FIG5
GGT was the finalized diagnosis after histology showing positive SMA and calponin, as seen in Figures 3-5.