scholarly journals A Case of Gastrointestinal Stromal Tumor That Underwent Endoscopic Ultrasound-Guided Aspiration with a 25-Gauge Biopsy Needle

2016 ◽  
Vol 10 (1) ◽  
pp. 173-178
Author(s):  
Minoru Tomizawa ◽  
Fuminobu Shinozaki ◽  
Yasufumi Motoyoshi ◽  
Takao Sugiyama ◽  
Shigenori Yamamoto ◽  
...  

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is performed to obtain specimens for pathological analysis. For this procedure, 19-gauge (19G), 22-guage (22G), and 25-guage (25G) needles are available. The needles are classified into aspiration type and biopsy type. A 56-year-old woman underwent upper gastrointestinal endoscopy that showed a 38-mm-diameter submucosal tumor. The elevated lesion was diagnosed as a submucosal tumor of the stomach. Contrast-enhanced computed tomography showed a low-density area on the luminal surface of the gastric wall, which was covered with a thin layer of gastric mucosa. EUS showed a hypoechoic lesion in the submucosal layer. Color Doppler image showed a pulsating vascular signal extending into the center of the hypoechoic lesion from the periphery. EUS-FNA was performed with a 25G biopsy needle. The specimen tissue consisted of spindle-shaped cells. The cells were positive for CD117 and CD34. The submucosal tumor was diagnosed as a gastrointestinal stromal tumor.

Endoscopy ◽  
2019 ◽  
Vol 51 (08) ◽  
pp. E223-E224
Author(s):  
Sergio Bazaga Pérez de Rozas ◽  
Mario Alberto Gallardo Ramírez ◽  
Francisco Javier García-Alonso ◽  
Ana Yaiza Carbajo ◽  
Manuel Pérez-Miranda Castillo ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Kouichi Nonaka ◽  
Shinichi Ban ◽  
Yoshimitsu Hiejima ◽  
Rei Narita ◽  
Michio Shimizu ◽  
...  

Background. Since gastrointestinal stromal tumor (GIST) is a mesenchymal submucosal tumor, the endosonographic, CT, and MRI features of gastric GISTs have been widely investigated. However, the GIST-bearing gastric mucosa status has not been reported. Objective. To characterize the GIST-bearing gastric mucosa status in terms of the degree of inflammation and atrophy, assessed endoscopically. Subjects and Methods. The subjects were 46 patients with submucosal tumors (histologically proven gastric GISTs) who had undergone upper gastrointestinal endoscopy in our hospital between April 2007 and September 2012. They were retrospectively evaluated regarding clinicopathological features, the endoscopically determined status of the entire gastric mucosa (presence or absence and degree of atrophy), presence or absence and severity of endoscopic gastritis/atrophy (A-B classification) at the GIST site, and presence or absence of H. pylori infection. Results. Twenty-three patients had no mucosal atrophy, but 17 and 6 had closed- and open-type atrophy, respectively. Twenty-six, 5, 12, 1, 1, and 1 patients had grades B0, B1, B2, B3, A0, and A1 gastritis/atrophy at the lesion site, respectively, with no grade A2 gastritis/atrophy. Conclusion. The results suggest that gastric GISTs tend to arise in the stomach wall with H. pylori-negative, nonatrophic mucosa or H. pylori-positive, mildly atrophic mucosa.


Endoscopy ◽  
2015 ◽  
Vol 47 (S 01) ◽  
pp. E262-E263 ◽  
Author(s):  
Eduardo Valdivielso Cortázar ◽  
Ignacio Fernández-Urién ◽  
Juan Vila Costas ◽  
Francisco Jiménez Pérez

2021 ◽  
Vol 116 (1) ◽  
pp. S1080-S1080
Author(s):  
Ghady Ali M. Moafa ◽  
Mona Bansal ◽  
John A. Evans ◽  
Ricardo V. Romero ◽  
Janak Shah ◽  
...  

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