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CASE REPORT article

Front. Oncol.
Sec. Gastrointestinal Cancers: Gastric and Esophageal Cancers
Volume 14 - 2024 | doi: 10.3389/fonc.2024.1385695

Case report: A large gastric calcifying fibrous tumor treated with endoscopic submucosal excavation

Provisionally accepted
Ziyou Zhong Ziyou Zhong 1,2Zhenguo Li Zhenguo Li 3Yufeng Xing Yufeng Xing 2Shaoju Guo Shaoju Guo 1,2*
  • 1 Department of Gastroenterology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, China
  • 2 The Fourth Clinical Medical College, Guangzhou University of Chinese Medicine, Shenzhen, China
  • 3 Department of Pathology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, China

The final, formatted version of the article will be published soon.

    Gastric calcifying fibrous tumor (CFT) is a rare benign mesenchymal tumor. Several previous studies have reported surgical resection for gastric CFT larger than 20mm for the difficulty in preoperative diagnosis. Here, we report a rare case of large gastric CFT treated with endoscopic submucosal excavation (ESE). A 70-year-old woman presented with recurrent epigastric pain and underwent endoscopy, which revealed a 35mm-sized submucosal tumor in the gastric body. ESE was performed after imaging examination and endoscopic ultrasonography. En bloc resection was achieved, but due to the specimen's substantial size and difficulty in mincing, it posed challenges for removal through the mouth. Finally, the specimen was temporarily placed in the stomach and was completely removed two days later. The diagnosis was confirmed based on pathological and immunohistochemical findings. There was no recurrence during the patient's 11-month follow-up. We provided a case report related to the diagnosis and endoscopic treatment for large gastric CFT. In addition, our experience of temporarily leaving a large postoperative specimen, considered a benign lesion, in the stomach for later removal was successful but requires appropriate timing to avoid blockage of the gastrointestinal tract.

    Keywords: Calcifying fibrous tumor, endoscopic submucosal excavation, Stomach, Submucosal tumor, case report

    Received: 13 Feb 2024; Accepted: 29 Jul 2024.

    Copyright: © 2024 Zhong, Li, Xing and Guo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Shaoju Guo, The Fourth Clinical Medical College, Guangzhou University of Chinese Medicine, Shenzhen, China

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