Gastric glomus tumor diagnosed by fine needle aspiration of the stomach: A report of two cases and review of the literature. 2022

Isabella A Pizzillo, and Camila Fang, and Wei Sun, and Tamar C Brandler
Department of Pathology, NYU Grossman School of Medicine, New York, New York, USA.

Glomus tumors make up 1% of stromal tumors of the stomach. Radiologic diagnosis of glomus tumors can be challenging as they share imaging characteristics with other neuroendocrine tumors and gastrointestinal stromal tumors. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) has been reported as a useful method for the evaluation of gastrointestinal lesions. We report two cases of gastric glomus tumors in which EUS-FNA diagnosis was challenging. Cytologically, neoplastic cells were round to oval, uniform, bland appearing epithelioid cells with delicate chromatin and inconspicuous to vague nucleoli. Both samples lacked worrisome features such as high nuclear grade, high mitotic rate, and necrosis. Neoplastic cells were negative for Cam5.2 and AE1/AE3 with focal expression of synaptophysin in one of the cases. A definitive diagnosis was not made based on FNA. Familiarity with glomus tumors in the GI system and procurement of adequate material for cell block allowing the use of immunohistochemistry may allow an accurate preoperative diagnosis.

UI MeSH Term Description Entries
D005918 Glomus Tumor A blue-red, extremely painful vascular neoplasm involving a glomeriform arteriovenous anastomosis (glomus body), which may be found anywhere in the skin, most often in the distal portion of the fingers and toes, especially beneath the nail. It is composed of specialized pericytes (sometimes termed glomus cells), usually in single encapsulated nodular masses which may be several millimeters in diameter (From Stedman, 27th ed). CHEMODECTOMA, a tumor of NEURAL CREST origin, is also sometimes called a glomus tumor. Glomangioma,Glomangiomas,Glomus Tumors,Tumor, Glomus,Tumors, Glomus
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013274 Stomach Neoplasms Tumors or cancer of the STOMACH. Cancer of Stomach,Gastric Cancer,Gastric Neoplasms,Stomach Cancer,Cancer of the Stomach,Gastric Cancer, Familial Diffuse,Neoplasms, Gastric,Neoplasms, Stomach,Cancer, Gastric,Cancer, Stomach,Cancers, Gastric,Cancers, Stomach,Gastric Cancers,Gastric Neoplasm,Neoplasm, Gastric,Neoplasm, Stomach,Stomach Cancers,Stomach Neoplasm
D046152 Gastrointestinal Stromal Tumors All tumors in the GASTROINTESTINAL TRACT arising from mesenchymal cells (MESODERM) except those of smooth muscle cells (LEIOMYOMA) or Schwann cells (SCHWANNOMA). Gastrointestinal Stromal Neoplasm,Gastrointestinal Stromal Neoplasms,Gastrointestinal Stromal Sarcoma,Gastrointestinal Stromal Tumor,Neoplasm, Gastrointestinal Stromal,Neoplasms, Gastrointestinal Stromal,Stromal Neoplasm, Gastrointestinal,Stromal Neoplasms, Gastrointestinal,Stromal Tumor, Gastrointestinal,Stromal Tumors, Gastrointestinal,Tumor, Gastrointestinal Stromal,Tumors, Gastrointestinal Stromal
D061765 Endoscopic Ultrasound-Guided Fine Needle Aspiration Conducting a fine needle biopsy with the aid of ENDOSCOPIC ULTRASONOGRAPHY. EUS-FNA,Endoscopic Ultrasound Guided Fine Needle Aspiration

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