[A Case of Gastric Granular Cell Tumor Resected by a Surgical Robot]

Gan To Kagaku Ryoho. 2022 Dec;49(13):1820-1822.
[Article in Japanese]

Abstract

A 46-year-old man was referred to further treatment for a 20 mm submucosal tumor at the gastric angle found during a medical check-up. Endoscopic ultrasonography and chest abdominal contrast-enhanced CT revealed the tumor was located at the 4th(proper muscular)layer of the posterior wall of the gastric antrum and slightly enhanced. No metastasis was found. Although a biopsy failed to reveal an accurate diagnosis, GIST was clinically suspected. A robotic distal gastrectomy was planned to manage the residual gastric stricture. The intraoperative findings indicated possible passage of the remnant stomach; therefore, local resection was performed. The patient's postoperative course was uneventful, and he was discharged on postoperative day 9. A histopathological examination confirmed the diagnosis of a PAS-positive, S100-positive granular cell tumor with no nuclear atypia. These findings suggest that use of the robotic approach could help determine the stomach resection extent.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Gastrectomy
  • Gastric Stump*
  • Granular Cell Tumor* / diagnostic imaging
  • Granular Cell Tumor* / surgery
  • Humans
  • Male
  • Middle Aged
  • Robotic Surgical Procedures
  • Robotics*
  • Stomach Neoplasms* / pathology
  • Stomach Neoplasms* / surgery