As mentioned above, despite online u stomach muscles are described as benign tumors, but there have

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I / Introduction: According to the histopathological classification of the World Health Organization, gastric gland tumors engine is one benign tumor characterized by smooth muscle tissue of the gland epithelial system single square or cylindrical epithelium single [ 1]. Magnus-Alsleben first reports of the disease in 1903 [2]. Although muscle tumors occur most routes in the gallbladder, only one occurred in a few cases have been reported stomach. In the cases in the stomach, 85% occurred in the antrum, 15% occurred in the pylorus [3]. Moreover, although one of the patients flush style had gastrointestinal symptoms are nonspecific, such as epigastric pain or nausea, but most cases have no symptoms [4,5]. In this case, we described one patient flush style with lesions below the stomach epithelium was detected by endoscopy and muscle tumors diagnosed gastric glands.
II / Ca Clinical: A 79-year-old Korean woman to the hospital with our findings and accidental damage under gastric epithelium. Have a history of drinking, smoking, using drugs recently, but not significantly. Symptoms may not function abnormalities. These tests are usually made in the present moment to the hospital we are within normal limits. CT-scan of the abdomen showed a clear, inside, flush style there are heterogeneous mass lesion in the stomach. Oval and block it out better than average when injected dye. In addition, no lymphadenopathy or distant metastases in other organs around the stomach was observed (Figure 1).
Figure 1: Photo of CT-scan contrast increases the patient's stomach. The image clearly shows first round heterogeneous mass in body position (yellow arrow). Both regional lymph node expansion or distant metastasis visible. In the procedure of the upper gastrointestinal endoscopy, we see large mucosal curve is almost normal. In addition, there is one class below the epithelial lesion protruding into the lumen 2.5cm long. Endoscopic ultrasound was found to be 1 block size 18x12mm flush style round starting classes listed below. In lesions that block does not prevent lumps forming cysts sound heterogeneous. Based on test results, lesions that allows tumors derived from the mesentery, is likely to be malignant. should be explained to the patient and surgical indications. With the patient under general anesthetic, laparoscopic flush style surgery cut Listed below grade lesions stomach in a triangle. examination showed roughly 1 cubic mixture and underlying tissue cysts filled with mucus membranes characteristics.
Figure 4 surgeries. And eosin staining showed hematoylin muscle fibers lifting cushion beneath defended listed below with links are connected together contain mucus. Thus, the smooth muscle fibers are interleaved in between the pipes. 1 dc few tube pan and slice by caccs columnar cells with normal people. And one of them is surrounded by the branch line dc slice by mucus secreting flush style cells. As of immunohistochemistry, injury associated flush style with the buffer and smooth muscle cell tumor slices (smooth muscle flush style actin-positive flush style there) (Figure 5). Cushioning showed flush style low scores proliferation (Ki-67 protein immune, <2 percent).
U-line engine flush style is an epithelial injury and proliferation of smooth muscle [1,6]. The origin of the tumor epithelial gland body is not clear, but it is thought that the epithelial bud embryos remaining after birth may develop into endocrine structure regardless, mature pancreatic tissue, or tissue duodenum depending on the stage of differentiation. Smooth flush style muscle is thought to be associated with female embryos in the process of separating from the epithelial cells or tissues from normal epithelial proliferation stimulated by ectopic [7].
The average size of the tumor body 0.6cm to 4.5cm line between, and are usually found in the lower grades in the class listed and sometimes muscle. The disease can affect patients from 8 months to 82 years of age, the incidence higher in men than women, although this difference was not statistically significant [8,9]. Although gastric gland tumors muscle can occur anywhere in the gastrointestinal tract, they are commonly found in most of the bottom of the gallbladder; flush style most cases occur in the stomach near the pyloric antrum or [3]. However, in these patients, lesions were found in the corpus. flush style
Chu describes the characteristics of gastric gland tumors muscle observed by EUS [10]. However, the preoperative diagnosis of this disease flush style is still difficult. On these patients, EUS showed that the lesion is derived from the submucosa and cystic structures, thus consistent with the results reported [10]. However, because the lesion is located close to the person and cystic structures flush style with signs of necrosis and tumor evil, so patients are candidates for surgery [11].
As mentioned above, despite online u stomach muscles are described as benign tumors, but there have been reports flush style of cases where the tumor is found th