An undescribed coexistence of a subserosal exophytic gastric leiomyoma with a serous microcystic pancreatic adenoma.
We present the case of a 66-year-old woman with complaints of odynophagia but normal gastro-oesophagoscopic findings. On computed tomographic examination, a presumptive diagnosis of a cystic liver tumor and a microcystic pancreatic adenoma was made. Histopathological examination of the hepatic mass, however, revealed a subserosal exophytic gastric leiomyoma. Considerations to avoid the potential pitfall of diagnosing an exogastric leiomyoma as a liver tumor are emphasized. Moreover, the unique association of an exogastric leiomyoma and a serous microcystic pancreatic adenoma is discussed.
De Bock
G
G
Department of Radiology, University Hospital Gent, Belgium.
Mortelé
K J
KJ
Lemmerling
M
M
Vercruysse
J
J
Van den Broecke
C
C
Kunnen
M
M
D000236:Adenoma / Q000473:pathology*; D000368:Aged; D003937:Diagnosis, Differential; D004945:Esophagoscopy; D005260:Female; D005773:Gastroscopy; D006801:Humans; D007889:Leiomyoma / Q000473:pathology*; D008113:Liver Neoplasms / Q000473:pathology; D009378:Neoplasms, Multiple Primary / Q000473:pathology*; D010190:Pancreatic Neoplasms / Q000473:pathology*; D013274:Stomach Neoplasms / Q000473:pathology*; D014057:Tomography, X-Ray Computed