J Korean Surg Soc.  2009 Sep;77(3):207-210. 10.4174/jkss.2009.77.3.207.

Extra-gastric Cyst Lesions Mimicking Gastric Submucosal Tumor

• Lee J
• Kim W

• KMID: 2004221
• DOI: http://doi.org/10.4174/jkss.2009.77.3.207

Abstract

Gastric cancer remains still the most frequent type of cancer despite its declining incidence in Korea. As a result of the health promotion policy of the Korean government and increase in concern for individuals' health, screening endoscopy for detecting early gastric cancer and general physical exams have become widespread. Thereby, the incidental detection of gastric submucosal tumors (SMTs) are now occasionally diagnosed by screening endoscopy. Since endoscopic examination gives little information on SMTs, a variety of studies have been conducted to determine the etiology of SMTs and to distinguish them from extra-luminal compressive lesions. Here, we report one clinical case of cavernous hemangioma on the left lateral section of the liver and one case of omental cyst, which was preoperatively mistaken as gastric SMT.

Keyword

Gastric submucosal tumors; Extra-luminal compressive lesions; Cavernous hemangioma; Omental cyst

MeSH Terms

Endoscopy
Health Promotion
Hemangioma, Cavernous
Incidence
Korea
Liver
Mass Screening
Stomach Neoplasms

Figure

• 

  Fig. 1 Barium radiography of stomach shows protruding mass in gastric fundus (A), EUS shows hypoechoic homogenous mass in 4th layer of the gastric wall (B), Abdominal CT shows gastric mass in fundus and arrow indicates hemangioma (C), Cavernous hepatic hemangioma in left lateral section of the liver (D).

• 

  Fig. 2 EUS finding suggests hypoechoic cystic mass in 5th layer of the gastric wall (A), Cystic mass located in posterior wall of the stomach (B).

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