Gastric calcifying fibrous tumor suspected to be complicated with immunoglobulin G4-related disease treated by laparoscopy and endoscopy cooperative surgery: a case report
Abstract Background Calcifying fibrous tumor (CFT) is a rare benign soft tissue lesion. Case presentation A 30-year-old woman was admitted to our hospital with complaints of epigastralgia. A 15-mm submucosal tumor was identified in the greater curvature of the superior body of the stomach by upper g...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2019-10-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40792-019-0714-6 |
| _version_ | 1819202561116209152 |
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| author | Ryoga Hamura Tomoki Koyama Masahiko Kawamura Takeshi Kawamura Mayo Nakamura Katsuhiko Yanaga |
| author_facet | Ryoga Hamura Tomoki Koyama Masahiko Kawamura Takeshi Kawamura Mayo Nakamura Katsuhiko Yanaga |
| author_sort | Ryoga Hamura |
| collection | DOAJ |
| description | Abstract Background Calcifying fibrous tumor (CFT) is a rare benign soft tissue lesion. Case presentation A 30-year-old woman was admitted to our hospital with complaints of epigastralgia. A 15-mm submucosal tumor was identified in the greater curvature of the superior body of the stomach by upper gastrointestinal endoscopy. Endoscopic ultrasonography revealed a hypoechoic lesion with an acoustic shadow consistent with calcification. Computed tomography showed a gastric tumor with calcification. A gastrointestinal stromal tumor was diagnosed, and gastric wedge resection was performed by laparoscopy and endoscopy cooperative surgery. On pathological examination, the tumor was identified to be a CFT. Postoperative serum IgG4 levels were 26.0 mg/dl, which supported the diagnosis of probable immunoglobulin G (IgG) 4-related disease, according to the comprehensive diagnostic criteria of IgG4-related disease. The patient was discharged on postoperative day 7 and remains well with no evidence of tumor recurrence for 2 years after resection. Conclusion We herein reported a patient with a gastric CFT suspected to be complicated with immunoglobulin G4-related disease that was successfully treated by laparoscopy and endoscopy cooperative surgery. |
| first_indexed | 2024-12-23T04:05:58Z |
| format | Article |
| id | doaj.art-f12c5e0c88a74f9496bd8b0f2d8abd1e |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-23T04:05:58Z |
| publishDate | 2019-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-f12c5e0c88a74f9496bd8b0f2d8abd1e2022-12-21T18:00:39ZengSpringerOpenSurgical Case Reports2198-77932019-10-01511410.1186/s40792-019-0714-6Gastric calcifying fibrous tumor suspected to be complicated with immunoglobulin G4-related disease treated by laparoscopy and endoscopy cooperative surgery: a case reportRyoga Hamura0Tomoki Koyama1Masahiko Kawamura2Takeshi Kawamura3Mayo Nakamura4Katsuhiko Yanaga5Department of Surgery, Kawamura HospitalDepartment of Surgery, Kawamura HospitalDepartment of Surgery, Kawamura HospitalDepartment of Surgery, Kawamura HospitalDepartment of Pathology, The Jikei University School of MedicineDepartment of Surgery, The Jikei University School of MedicineAbstract Background Calcifying fibrous tumor (CFT) is a rare benign soft tissue lesion. Case presentation A 30-year-old woman was admitted to our hospital with complaints of epigastralgia. A 15-mm submucosal tumor was identified in the greater curvature of the superior body of the stomach by upper gastrointestinal endoscopy. Endoscopic ultrasonography revealed a hypoechoic lesion with an acoustic shadow consistent with calcification. Computed tomography showed a gastric tumor with calcification. A gastrointestinal stromal tumor was diagnosed, and gastric wedge resection was performed by laparoscopy and endoscopy cooperative surgery. On pathological examination, the tumor was identified to be a CFT. Postoperative serum IgG4 levels were 26.0 mg/dl, which supported the diagnosis of probable immunoglobulin G (IgG) 4-related disease, according to the comprehensive diagnostic criteria of IgG4-related disease. The patient was discharged on postoperative day 7 and remains well with no evidence of tumor recurrence for 2 years after resection. Conclusion We herein reported a patient with a gastric CFT suspected to be complicated with immunoglobulin G4-related disease that was successfully treated by laparoscopy and endoscopy cooperative surgery.http://link.springer.com/article/10.1186/s40792-019-0714-6Calcifying fibrous tumorIgG4-related diseaseLECS |
| spellingShingle | Ryoga Hamura Tomoki Koyama Masahiko Kawamura Takeshi Kawamura Mayo Nakamura Katsuhiko Yanaga Gastric calcifying fibrous tumor suspected to be complicated with immunoglobulin G4-related disease treated by laparoscopy and endoscopy cooperative surgery: a case report Surgical Case Reports Calcifying fibrous tumor IgG4-related disease LECS |
| title | Gastric calcifying fibrous tumor suspected to be complicated with immunoglobulin G4-related disease treated by laparoscopy and endoscopy cooperative surgery: a case report |
| title_full | Gastric calcifying fibrous tumor suspected to be complicated with immunoglobulin G4-related disease treated by laparoscopy and endoscopy cooperative surgery: a case report |
| title_fullStr | Gastric calcifying fibrous tumor suspected to be complicated with immunoglobulin G4-related disease treated by laparoscopy and endoscopy cooperative surgery: a case report |
| title_full_unstemmed | Gastric calcifying fibrous tumor suspected to be complicated with immunoglobulin G4-related disease treated by laparoscopy and endoscopy cooperative surgery: a case report |
| title_short | Gastric calcifying fibrous tumor suspected to be complicated with immunoglobulin G4-related disease treated by laparoscopy and endoscopy cooperative surgery: a case report |
| title_sort | gastric calcifying fibrous tumor suspected to be complicated with immunoglobulin g4 related disease treated by laparoscopy and endoscopy cooperative surgery a case report |
| topic | Calcifying fibrous tumor IgG4-related disease LECS |
| url | http://link.springer.com/article/10.1186/s40792-019-0714-6 |
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