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KMID : 1141820210210020213
Journal of Gastric Cancer
2021 Volume.21 No. 2 p.213 ~ p.219
Gastric Plexiform Fibromyxoma with Two Different Growth Patterns on Histological Images: a Case Report
Li Zhenyu

Jiang Qingming
Guo Dongfang
Peng Yangling
Zhang Jing
Chen Xinyu
Abstract
Plexiform fibromyxoma (PF) of the stomach is a very rare mesenchymal tumor of the gastrointestinal tract. We report the first case of PF with 2 different growth patterns pathologically confirmed after surgical resection. The tumor was characterized microscopically as infiltrative; it demonstrated diffuse growth into the smooth muscle bundles of the muscularis propria and was also multinodular and plexiform within the myxoid stroma. Immunohistochemical analysis revealed that the tumor cells were positive or weakly positive for smooth muscle actin, vimentin, and H-caldesmon and negative for desmin, CD117, CD34, CK-20, Pan-CK, Dog1, S100, ER, PR, and CD10. No mutations of C-kit and platelet-derived growth factor receptor alpha were detected. No genetic disruption of glioma-associated oncogene homolog 1 was detected by fluorescence in situ hybridization. The final diagnosis of PF was mainly based on the morphological and immunohistochemical findings.
KEYWORD
Plexiform fibromyxoma, Diffuse, Stomach, SMA, Case reports
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