[Clinical x-ray diagnosis of gastric leiomyomas]

Under observation were 23 patients with leiomyomas of the stomach. Leiomyomas were more frequently observed in females, in the proximal segment these were as frequent as in the distal one, but more frequently in the posterior wall. Submucous endo gastric localization was typical for most leiomyomas. The possibilities of clinico-roentgenological diagnosis were studied. The clinical picture of leiomyomas of the stomach shows pains in the epigastric region, general disturbances, acute profuse gastric hemorrhages. The most typical roentgenological sign of gastric leiomyoma is an oval or round filling defect with even margins around 5-6 cm in size. Not infrequently there are one or several ulcerations on the leiomyoma surface like "a niche" of oval or semioval shape. The mucosa folds around the filling defect are moved apart but not destroyed. Some information on gastroscopic examination of 8 patients with gastric leiomyomas is reported.