Case Report

Endoscopic Resection of a Gastric Glomus Tumour Using a Hybrid Approach of Endoscopic Submucosal Dissection and Endoscopic Full Thickness Resection: A Case Report

Bas J Gloudemans1, Charlotte N Frederiks1,2*, Emily Kleinrouweler3Mihaela Raicu3, Bas LAM Weusten1,2 

1Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands

2Department of Gastroenterology and Hepatology, St. Antonius Hospital, Nieuwegein, the Netherlands

3Department of Pathology, St. Antonius Hospital, Nieuwegein, the Netherlands

*Corresponding author: Charlotte N Frederiks, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands

Received Date: 04 May 2023

Accepted Date: 08 May 2023

Published Date: 10 May 2023

Citation: Gloudemans BJ, Frederiks CN, Kleinrouweler E, Raicu M, Weusten BLAM (2023) Endoscopic Resection of a Gastric Glomus Tumour Using a Hybrid Approach of Endoscopic Submucosal Dissection and Endoscopic Full Thickness Resection: A Case Report. Ann Case Report. 8: 1301. https://doi.org/10.29011/2574-7754.101301

Abstract

Gastric glomus tumour is a rare type of mesenchymal neoplasm arising from arteriovenous shunts in the muscular is propria responsible for thermoregulation, also known as glomus bodies. Due to its indistinguishable characteristics, this usually benign tumour is often resected with surgery to simultaneously diagnose and treat the lesion. We present a case of a 57-year old woman with a submucosal lesion in the angulus of the stomach, which turned out to be a glomus tumour after endoscopic resection using a hybrid approach of endoscopic submucosal dissection and endoscopic full-thickness resection.

Keywords: Glomus Tumour; Endoscopic Resection; Endoscopic Submucosal Dissection; Endoscopic Full Thickness Resection

Abbreviations: EUS: Endoscopic ultrasound; ESD: Endoscopic submucosal dissection; eFTR: Endoscopic full thickness resection.

Introduction

Glomus tumour is a rare type of mesenchymal neoplasm derived from modified smooth muscle cells of normal glomus bodies, which play a role in thermoregulation [1]. Although glomus tumours usually involve areas rich in glomus bodies such as the subungual regions or the dermis of extremities [1], these neoplasms may present anywhere in the body, including the gastrointestinal tract [2]. Here we report a case of a gastric glomus tumour, which was treated curatively with endoscopic resection using a hybrid approach of endoscopic submucosal dissection (ESD) and endoscopic full thickness resection (eFTR).