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Updated: Sep 9, 2025
05:16
Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors
Published on: February 19, 2022
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Gastric fundus leiomyoma: a rare case report
Kaiyuan Luo1, Jianfeng Bin1, Jun Bian1
1Department of Gastrointestinal Surgery, Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, Guizhou, China.
Frontiers in Oncology
|September 2, 2025
Summary
Gastric leiomyoma, a rare benign tumor, can be misdiagnosed due to similar imaging features to other gastric neoplasms. Comprehensive preoperative imaging and pathological analysis are crucial for accurate diagnosis and effective treatment of gastric leiomyoma.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Gastric leiomyoma is a rare, slow-growing benign tumor of gastric smooth muscle.
- It often presents asymptomatically and can be misdiagnosed as other gastric neoplasms, including gastrointestinal stromal tumors.
- Accurate diagnosis is essential to avoid unnecessary surgical interventions.
Observation:
- A 28-year-old male presented with abdominal pain and a gastric fundus submucosal protrusion.
- Imaging studies revealed a 6.3 cm round-like mass in the gastric fundus.
- Laparoscopic resection of the tumor was performed.
Findings:
- Postoperative pathological and immunohistochemical analysis confirmed gastric leiomyoma.
- The patient experienced a successful recovery and was discharged within a week.
Implications:
- Comprehensive preoperative imaging (CT, EUS, MRI) and pathological evaluation are vital for differentiating gastric leiomyoma from other tumors.
- Surgical resection with cardia preservation is an effective treatment, ensuring negative margins and minimizing complications.
- This case provides a valuable reference for diagnosing and managing gastric leiomyoma, improving patient outcomes.
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