Gastric Synovial Sarcoma
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A 42-year-old male patient with unremarkable past medical history was referred to our institution for asthenia. Abdominal examination showed no abnormalities. A blood exam was carried out, which revealed hematocrit of 28% and hemoglobin level of 8.2 g/dl with an iron deficiency pattern. Due to the suspicion of gastrointestinal bleeding, a colonoscopy and upper gastrointestinal endoscopy (UGIE) were performed showing a 3 × 3-cm pedunculated lesion on the lesser curve of the stomach and on its surface, an ulcer with fibrinous fundus was observed. No evidence of any other lesion was noted on the colonoscopy. Given that the patient was not aware of the resection that needed to be performed in a lesion of this size, we decided to perform a deferred endoscopic resection. Therefore, we conducted a second UGIE in which we evidenced the formerly described lesion. By previously injecting the pedicle of the lesion with adrenaline (1:20.000 dilution), we performed the resection with a...
KeywordsGastric synovial sarcoma Synovial sarcoma GIST
All authors have contributed to the design of the work, data acquisition and analysis data, revision for important intellectual content, and final approval of the version to be published.
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