An unusual submucosal lesion
We report the case of a 33y old woman who underwent upper-GI endoscopy for epigastric pain. The first endoscopy showed a pericentimetric submucosal lesion located on the lesser curve of the antrum. The superficial biopsies of the lesion concluded to chronic gastritis. An echo-endoscopy was performed to obtain new biopsies, and showed a well-defined, hypo-echoic, submucosal lesion of approximately 16mm. Biopsy was not possible because of its mobility. At this point, the differential diagnosis were leiomyoma and GIST. To obtain a formal diagnosis through mucosal incision assisted biopsy, a second endoscopy was performed 4 months later; the lesion had significantly grown (to 25mm), presenting as a Paris 0-Ip lesion, with superficial ulceration (figure 1). What is your diagnosis?
Authors
- Olivier Plomteux
- Philippe Leclercq (ORCID: https://orcid.org/0000-0002-1447-224X)
- G Demolin
- Francesca Felice (ORCID: https://orcid.org/0000-0001-8968-2228)
- F Dôme
Institutions
- Centre Hospitalier Chrétien (BE)
- Clinique Saint-Joseph (BE)
Publication Details
- Journal
- Acta Gastro Enterologica Belgica
- Published
- 2024-12-01
- DOI
- https://doi.org/10.51821/87.4.13515
- Primary Topic
- Gastrointestinal disorders and treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00