Gastric autonomic nerve tumour: a rare gastric tumour.

To cite: Abbas A, Al-Arini A, Meshikhes A-WN. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr2014-204638 DESCRIPTION A 37-year-old woman presented with vague upper abdominal pain and dyspepsia. Clinical examination was unremarkable. Gastroscopy showed a smooth ‘bulge’ at the junction of the gastric body and fundus along the greater curvature with normal overlying mucosa. Biopsy revealed inflammatory changes but no dysplasia or malignancy. CT scan showed welldefined gastric body wall mass (figure 1). She underwent a wedge resection of the mass with normal gastric margin without regional lymphadenectomy. Histopathology showed a well-circumscribed lesion (4.5×3.0 cm) composed of spindled cells arranged in interlacing fascicles, whorls and palisades (figure 2). Very rare mitoses (1/50 HPF) were seen and the overlying mucosa was normal. The appearance was those of gastric autonomic nerve