• Jiannan Huang, Chaofeng Yuan, Shaopeng Zhang, Tong Qu, and Jian Suo.
• Department of Gastrointestinal Colorectal Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.
• Medicine (Baltimore). 2024 Aug 9; 103 (32): e39208e39208.

RationaleMalignant gastric glomus tumor (GGT) is an extremely rare malignant tumor of mesenchymal origin, it affects the patient's health and even threatens life. Malignant GGT with vascular invasion is even more rarely reported in the available literature without a prognostic study. So, in this case, we report a malignant GGT with vascular invasion and performed a 5-year postoperative follow-up. To the best of our knowledge, we report the first case of malignant GGT with vascular invasion without recurrence 5 years after surgery. This provides examples and lessons for the treatment of malignant GGT with vascular invasion.Patient ConcernsA 49-year-old male was admitted to the hospital with gallbladder stones found on health check. After completing abdominal CT and ultrasound gastroscopy, a mass in the gastric antrum was found.DiagnosesThe diagnosis of malignant GGT was confirmed by combination of postoperative pathology with positive immunohistochemistry for SMA, vimentin, synaptophysin, H-caldesmon, and calponin, mitosis > 10/50 HPF and moderate-to-severe nuclear atypia.InterventionsOn the 6th day of hospitalization, the patient underwent laparoscopic distal gastrectomy and cholecystectomy.OutcomesThe patient was discharged successfully 1 week after surgery and was followed up for 5 years without recurrence.ConclusionMalignant GGT can be asymptomatic. For malignant GGT without distant metastasis, despite the presence of vascular invasion, negative margin surgery can still be the standard surgical radical treatment.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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