PMC4446683_01
Polypoidal mass on endoscopy along greater curvature.
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Endoscopy revealed a polypoidal mass of size 3 x 2 cm with intact mucosa in anterior wall of gastric antrum. (Fig. 1). The probable differential diagnosis were glomus tumour, carcinoid tumour, gastro intestinal stromal tumour and lymphoma (Fig. 4 and Table 1).
CECT abdomen showing a lobulated mass protruding into the lumen.
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It does not extend beyond the stomach wall into the surrounding structures and no enlarged lymph nodes. (Fig. 2).
(a) antral mass along greater curvature (b) wedge resection of mass with staplers (c) resected specimen confirming the submucosal location.
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Wedge resection of tumour was done(Fig. 3a and b). Gross examination reveals a solitary grey white firm tumour mass (Fig. 3c) confirming the submucosal location.
(a) H&E showing solid sheets of tumour cells intervined by blood vessels of varying size (10X) (b) High Power showing cuffs of tumour cells around the blood vessels lined by flattened endothelial cells (40X).
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The probable differential diagnosis were glomus tumour, carcinoid tumour, gastro intestinal stromal tumour and lymphoma (Fig. 4 and Table 1).