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KMID : 0614619930250040751
Korean Journal of Gastroenterology
1993 Volume.25 No. 4 p.751 ~ p.756
A Case of Gastric Neurofiroma
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Abstract
Gastronic neurofibroma is rare. Most of the reported cases were associated with von Recklinghausen's disease. We experienced a case of solitary gastric neurofibroma. A 28-year-old male patient was admitted with epigastric pain for 4 months and
tarry
stool for 4 days. neither cafe-au-lait spots nor superficial tumors were found.
Gastroscopic exmination showed a large (3¡¿2cm) polypoid mass with a superficial ulceration and a bridging fold on the anterior wall of the antrum. UGI series showed a large polypoid mass with the central ulceration on the antrum. Antrectomy with
gastrojejunostomy was performed.
Grossly, the mass was 3.2¡¿2.7¡¿1.5cm sized, well-circumscribed submucosal tumor with central ulceration. Microscopically, the mass was not encapsulated. The arrangement of the tumor cells was coarse and wavy with the myxomatous matrix. Each of
the
tumor cells had oval shaped nucleus and spindle shaped cytoplasm. Nuclear atypism and frequent mitosis were not observed.
We report a rare case of solitary gastric neurofibroma with review of the literatures.
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