Primary gastric synovial sarcoma resected by laparoscopic endoscopic cooperative surgery of the stomach: a case report.
Laparoscopic endoscopic cooperative surgery
Stomach
Synovial sarcoma
Journal
Surgical case reports
ISSN: 2198-7793
Titre abrégé: Surg Case Rep
Pays: Germany
ID NLM: 101662125
Informations de publication
Date de publication:
20 Oct 2021
20 Oct 2021
Historique:
received:
28
07
2021
accepted:
12
10
2021
entrez:
20
10
2021
pubmed:
21
10
2021
medline:
21
10
2021
Statut:
epublish
Résumé
Primary gastric synovial sarcoma is extremely rare, only 44 cases have been reported so far, and there have been no reports of laparoscopic endoscopic cooperative surgery for this condition. A 45-year-old male patient presented with gastric pain. Esophagogastroduodenoscopy was performed that led to the identification of an 8-mm submucosal tumor in the anterior wall of the antrum, and a kit-negative gastrointestinal stromal tumor was suspected following biopsy. On endoscopic ultrasonography, the boundary of the tumor, mainly composed of the second layer, was depicted as a slightly unclear low-echo region, and a pointless no echo region was scattered inside. A boring biopsy revealed synovial sarcoma. Positron emission tomography did not reveal fluorodeoxyglucose ( Resection with laparoscopic endoscopic cooperative surgery (LECS), which has not been reported before, was effective for small synovial sarcomas that could not be confirmed laparoscopically. With the combination of laparoscopic and endoscopic approaches to neoplasia with a non-exposure technique (CLEAN-NET) procedure, it was possible to excise the tumor with the minimum excision range of the gastric serosa without opening the stomach.
Sections du résumé
BACKGROUND
BACKGROUND
Primary gastric synovial sarcoma is extremely rare, only 44 cases have been reported so far, and there have been no reports of laparoscopic endoscopic cooperative surgery for this condition.
CASE PRESENTATION
METHODS
A 45-year-old male patient presented with gastric pain. Esophagogastroduodenoscopy was performed that led to the identification of an 8-mm submucosal tumor in the anterior wall of the antrum, and a kit-negative gastrointestinal stromal tumor was suspected following biopsy. On endoscopic ultrasonography, the boundary of the tumor, mainly composed of the second layer, was depicted as a slightly unclear low-echo region, and a pointless no echo region was scattered inside. A boring biopsy revealed synovial sarcoma. Positron emission tomography did not reveal fluorodeoxyglucose (
CONCLUSION
CONCLUSIONS
Resection with laparoscopic endoscopic cooperative surgery (LECS), which has not been reported before, was effective for small synovial sarcomas that could not be confirmed laparoscopically. With the combination of laparoscopic and endoscopic approaches to neoplasia with a non-exposure technique (CLEAN-NET) procedure, it was possible to excise the tumor with the minimum excision range of the gastric serosa without opening the stomach.
Identifiants
pubmed: 34669095
doi: 10.1186/s40792-021-01310-8
pii: 10.1186/s40792-021-01310-8
pmc: PMC8528932
doi:
Types de publication
Journal Article
Langues
eng
Pagination
225Informations de copyright
© 2021. The Author(s).
Références
Cancer. 2008 Aug 1;113(3):573-81
pubmed: 18521899
Cancer Res. 2006 Jul 15;66(14):6919-27
pubmed: 16849535
Am J Pathol. 1998 Dec;153(6):1807-12
pubmed: 9846971
Hong Kong Med J. 2020 Apr;26(2):142-145
pubmed: 32300075
Int J Surg Case Rep. 2021 Jan;78:270-273
pubmed: 33373921
Med J Malaysia. 2016 Dec;71(6):363-365
pubmed: 28087966
Pathology. 2014 Apr;46(3):253-6
pubmed: 24614723
Pol J Pathol. 2020;71(2):181-193
pubmed: 32729309
World J Surg Oncol. 2021 Mar 1;19(1):65
pubmed: 33648512
J Formos Med Assoc. 2012 Sep;111(9):516-20
pubmed: 23021509
Pathol Int. 2013 Dec;63(12):573-80
pubmed: 24422953
Ann Oncol. 2011 Feb;22(2):458-67
pubmed: 20716627
Am J Surg Pathol. 2008 Feb;32(2):275-81
pubmed: 18223331
Histopathology. 2015 Jun;66(7):974-81
pubmed: 25346074
Pathol Res Pract. 2013 Nov;209(11):745-50
pubmed: 23910174
BMC Cancer. 2009 May 21;9:159
pubmed: 19460168
Surg Endosc. 2008 Jul;22(7):1729-35
pubmed: 18074180
J Gastrointest Surg. 2018 Aug;22(8):1450-1451
pubmed: 29313287
Pathol Res Pract. 2021 Mar;219:153352
pubmed: 33582394
Clin Orthop Relat Res. 2018 Mar;476(3):589-598
pubmed: 29529647
Clin J Gastroenterol. 2021 Aug;14(4):1020-1026
pubmed: 33844129
World J Gastroenterol. 2018 Feb 28;24(8):949-956
pubmed: 29491688
Cochrane Database Syst Rev. 2003;(3):CD003293
pubmed: 12917960
J Gastrointest Cancer. 2019 Mar;50(1):116-122
pubmed: 28660525
J Pediatr Hematol Oncol. 2021 Jan;43(1):e119-e122
pubmed: 31913943
Ann Gastroenterol Surg. 2019 Feb 19;3(3):239-246
pubmed: 31131352
Clin J Gastroenterol. 2013 Aug;6(4):303-8
pubmed: 24707321
Ann Surg. 1982 Sep;196(3):305-15
pubmed: 7114936
J Clin Oncol. 1996 Apr;14(4):1201-8
pubmed: 8648375
J Gastrointest Cancer. 2014 Dec;45 Suppl 1:129-31
pubmed: 24595970
Clin Transl Gastroenterol. 2012 Apr 19;3:e11
pubmed: 23238210
Cancer Res. 2006 Oct 1;66(19):9474-82
pubmed: 17018603
Clin Sarcoma Res. 2015 Feb 12;5:7
pubmed: 25699170
Surg Oncol Clin N Am. 2012 Jan;21(1):129-40
pubmed: 22098836
Mod Pathol. 2000 Jan;13(1):68-76
pubmed: 10658912
J Clin Oncol. 2000 May;18(10):2087-94
pubmed: 10811674
Medicine (Baltimore). 2017 Dec;96(49):e8904
pubmed: 29245254
J Gastrointest Surg. 2019 Jul;23(7):1515-1517
pubmed: 30565070