Korean J Pathol.  2010 Aug;44(4):448-452.

Fine Needle Aspiration Cytology of Gastric Glomus Tumor: A Case Report

• Lee DG
• Jang KY
• Chung MJ
• Moon WS
• Kang MJ
• Park HS

Abstract

Glomus tumors of the stomach are rare and are usually found as a solitary, intramural lesion. Here, we report a case of a gastric glomus tumor in a 60-year-old woman diagnosed by endoscopic ultrasound-guided fine-needle aspiration cytology. Endoscopic ultrasound revealed a 4 x 3 cm-sized, round, isoechoic mass at the fourth layer of the gastric wall. Smears revealed cohesive clusters of small, uniform, round to polygonal cells with scant cytoplasm and round, hyperchromatic nuclei with homogeneous chromatin. Immunocytochemistry by liquid-based cytology was positive for smooth muscle actin. The cytologic diagnosis of a glomus tumor was confirmed by a specimen from the laparoscopic resection. Although the cytologic features of glomus tumors are quite distinctive, an immunocytochemical stain from a liquid-based cytology preparation can further help to ascertain the diagnosis.

Keyword

Stomach neoplasms; Glomus tumor; Endosonography; Biopsy, fine-needle; Cytology

MeSH Terms

Actins
Biopsy, Fine-Needle
Chromatin
Cytoplasm
Endosonography
Female
Glomus Tumor
Humans
Immunohistochemistry
Middle Aged
Muscle, Smooth
Stomach
Stomach Neoplasms
Actins
Chromatin