Calcifying fibrous tumor of the gastric wall

Hirotaka Kitamura, Akira Takehara, Masanari Shimada, Hideki Moriyama, Kennichiro Saito, Masahiro Hada, Kazushige Shibahara, Masatoshi Sasaki, Koji Konishi, Yoshinobu Maeda

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1 Citation (Scopus)

Abstract

We report a rare case of calcifying fibrous tumor of the gastric wall. A 44-year old woman was seen by a health checkup barium study for an abnormal observation indicating a round defect impinging on the lumen suggesting submucosal gastric tumor at the distal anterior wall. Gastroscopy revealed a 3×3cm distal anterior bulge with normal overlying mucosa. Computed tomography (CT) indicated a gastric tumor with calcification projecting from the gastric wall excised in laparoscopic gastric wedge resection. On gross examination, the surgical specimen was a firm gray-white mass 30×26×24mm well-demarcated but unencapsulated. Microscopically it consisted of dense collagenous tissue containing sparse spindle cells, psammomatous calcification, and multifocal lymphoplasmocytic infiltrates. Immunohistochemically, cells were positive for vimentin and negative for CD34, c-kit, α-smooth muscle actin, desmin, S-100, and NSE. The histology was characteristic of a rare calcifying fibrous tumor-only the second, to our knowledge, reported in Japan.

Original languageEnglish
Pages (from-to)1773-1778
Number of pages6
JournalJapanese Journal of Gastroenterological Surgery
Volume42
Issue number12
DOIs
Publication statusPublished - Dec 2009
Externally publishedYes

Keywords

  • Calcifying fibrous pseudotumor
  • Calcifying fibrous tumor
  • Submucosal tumor

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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  • Cite this

    Kitamura, H., Takehara, A., Shimada, M., Moriyama, H., Saito, K., Hada, M., Shibahara, K., Sasaki, M., Konishi, K., & Maeda, Y. (2009). Calcifying fibrous tumor of the gastric wall. Japanese Journal of Gastroenterological Surgery, 42(12), 1773-1778. https://doi.org/10.5833/jjgs.42.1773