Plexiform angiomyxoid myofibroblastic tumour: differential diagnosis of gastrointestinal stromal tumour in the stomach

Mesenchymal tumours other than gastrointestinal stromal tumours are rare in the stomach. Nevertheless it is important to incorporate them into the differential diagnosis. Plexiform angiomyxoid myofibroblastic tumour is a recently described new entity of a presumably benign mesenchymal gastric tumour...

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Veröffentlicht in:Journal of clinical pathology 2008-10, Vol.61 (10), p.1136-1137
Hauptverfasser: Rau, T T, Hartmann, A, Dietmaier, W, Schmitz, J, Hohenberger, W, Hofstaedter, F, Katenkamp, K
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container_issue 10
container_start_page 1136
container_title Journal of clinical pathology
container_volume 61
creator Rau, T T
Hartmann, A
Dietmaier, W
Schmitz, J
Hohenberger, W
Hofstaedter, F
Katenkamp, K
description Mesenchymal tumours other than gastrointestinal stromal tumours are rare in the stomach. Nevertheless it is important to incorporate them into the differential diagnosis. Plexiform angiomyxoid myofibroblastic tumour is a recently described new entity of a presumably benign mesenchymal gastric tumour. This report presents what is believed to be the third case of this tumour. The tumour is characterised by bland spindle cells in a plexiform pattern, a mucinous extracellular matrix and a network of thin blood vessels. These findings are completely in line with the two previous reported cases. There was a strong positivity for α-smooth muscle actin and a low proliferation index (
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Nevertheless it is important to incorporate them into the differential diagnosis. Plexiform angiomyxoid myofibroblastic tumour is a recently described new entity of a presumably benign mesenchymal gastric tumour. This report presents what is believed to be the third case of this tumour. The tumour is characterised by bland spindle cells in a plexiform pattern, a mucinous extracellular matrix and a network of thin blood vessels. These findings are completely in line with the two previous reported cases. There was a strong positivity for α-smooth muscle actin and a low proliferation index (&lt;2%). The tumour had no C-KIT or CD34 expression and no mutation in the C-KIT and PDFGRα genes. Plexiform angiomyxoid myofibroblastic tumour may present a new mesenchymal tumour entity in the stomach.</description><identifier>ISSN: 0021-9746</identifier><identifier>EISSN: 1472-4146</identifier><identifier>DOI: 10.1136/jcp.2008.059162</identifier><identifier>PMID: 18820104</identifier><identifier>CODEN: JCPAAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Association of Clinical Pathologists</publisher><subject>Biological and medical sciences ; Diagnosis, Differential ; DNA Mutational Analysis ; Extracellular matrix ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Gastrointestinal Stromal Tumors - pathology ; Humans ; Immunohistochemistry ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Mesenchymoma - pathology ; Mesenchymoma - surgery ; Middle Aged ; Mutation ; Myofibroma - pathology ; Myxoma - pathology ; Pathology. Cytology. Biochemistry. Spectrometry. 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Nevertheless it is important to incorporate them into the differential diagnosis. Plexiform angiomyxoid myofibroblastic tumour is a recently described new entity of a presumably benign mesenchymal gastric tumour. This report presents what is believed to be the third case of this tumour. The tumour is characterised by bland spindle cells in a plexiform pattern, a mucinous extracellular matrix and a network of thin blood vessels. These findings are completely in line with the two previous reported cases. There was a strong positivity for α-smooth muscle actin and a low proliferation index (&lt;2%). The tumour had no C-KIT or CD34 expression and no mutation in the C-KIT and PDFGRα genes. 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subjects Biological and medical sciences
Diagnosis, Differential
DNA Mutational Analysis
Extracellular matrix
Female
Gastroenterology. Liver. Pancreas. Abdomen
Gastrointestinal Stromal Tumors - pathology
Humans
Immunohistochemistry
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Mesenchymoma - pathology
Mesenchymoma - surgery
Middle Aged
Mutation
Myofibroma - pathology
Myxoma - pathology
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Smooth muscle
Stomach
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tumors
title Plexiform angiomyxoid myofibroblastic tumour: differential diagnosis of gastrointestinal stromal tumour in the stomach
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