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?

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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
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article

An unusual submucosal lesion

Olivier Plomteux, Philippe Leclercq, G Demolin, Francesca Felice et al.
Acta Gastro Enterologica Belgica
Gastrointestinal disorders and treatments
article

An unusual submucosal lesion

Olivier Plomteux, Philippe Leclercq, G Demolin, Francesca Felice, F Dôme
article en

Abstract

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?

Acta Gastro Enterologica BelgicaVol. 87(4)
Centre Hospitalier Chrétien (BE), Clinique Saint-Joseph (BE)
Good health and well-being
Openalex Percentile: Top 55%
Gastrointestinal disorders and treatments
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