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Plexiform Angiomyxoid Myofibroblastic Tumor of the Stomach: Report of Two Cases and Review of the Literature

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Plexiform angiomyxoid myofibroblastic tumor (PAMT) of the stomach is a recently recognized entity. Because of its rarity, only 22 cases have been reported in the English-language literature and most of these are single case reports. We report two cases of gastric PAMT. The tumor cells were bland and plexiform arranged in a myxoid stroma, which was positive for alcian blue. Immunohistochemically, the tumor cells were positive for smooth muscle actin, but negative for c-kit, CD34, desmin, S-100 protein, epithelial membrane antigen, neurofilament, and protein kinase C-theta. Mutation analyses for exon 9, 11, 13, and 17 of KIT genes and 12, 14, and 18 of the platelet-derived growth factor receptor alpha (PDGFRA) genes were performed and the tumors were wild-type for mutation.

Abstract

Plexiform angiomyxoid myofibroblastic tumor (PAMT) of the stomach is a recently recognized entity. Because of its rarity, only 22 cases have been reported in the English-language literature and most of these are single case reports. We report two cases of gastric PAMT. The tumor cells were bland and plexiform arranged in a myxoid stroma, which was positive for alcian blue. Immunohistochemically, the tumor cells were positive for smooth muscle actin, but negative for c-kit, CD34, desmin, S-100 protein, epithelial membrane antigen, neurofilament, and protein kinase C-theta. Mutation analyses for exon 9, 11, 13, and 17 of KIT genes and 12, 14, and 18 of the platelet-derived growth factor receptor alpha (PDGFRA) genes were performed and the tumors were wild-type for mutation.

참고문헌 (9)

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  2. Miettinen M, "Plexiform fibromyxoma: a distinctive benign gastric antral neoplasm not to be confused with a myxoid GIST", Am J Surg Pathol, 33, pp.1624~1632 (2009)
  3. Rau TT, "Plexiform angiomyxoid myofibroblastic tumour: differential diagnosis of gastrointestinal stromal tumour in the stomach", J Clin Pathol, 61, pp.1136~1137 (2008)
  4. Sing Y, "Gastric plexiform angiomyxoid myofibroblastic tumor", Pathol Int, 60, pp.621~625 (2010)
  5. Galant C, "Re: Plexiform angiomyxoid myofibroblastic tumor of the stomach", Am J Surg Pathol, 32, pp.1910~ (2008)
  6. Takahashi Y, "Plexiform angiomyxoid myofibroblastic tumor of the stomach", World J Gastroenterol, 16, pp.2835~2840 (2010)
  7. Tan CY, "Plexiform angiomyxoid myofibroblastic tumour of the stomach: a case report", Pathology, 42, pp.581~583 (2010)
  8. Wang WY, "Plexiform angiomyxoid myofibroblastic tumour of the gastric fundus: successful diagnosis and treatment by endoscopy", J Clin Pathol, 63, pp.569~570 (2010)
  9. Yoshida A, "Plexiform angiomyxoid tumor of the stomach", Am J Surg Pathol, 32, pp.1910~1912 (2008)

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