Diagnostic value of endoscopic ultrasonography for gastrointestinal leiomyoma
Diagnostic value of endoscopic ultrasonography for gastrointestinal leiomyoma作者机构：Department of Gastroenterology First Affiliated Hospital School of Medicine Zhejiang University Hangzhou 310003 Zhejiang Province China. xuguoqi@***
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2003年第9卷第9期
页 面：2088-2091页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：the Initiative Fund of Ministryof Education for Returned Overseas Scholars No.491010-G50040
摘 要：AIM: To investigate the clinical pathologic features of gastrointestinal leiomyoma and the diagnostic value of endoscopic ultrasonography (EUS) on gastrointestinal ***: A total of 106 patients with gastrointestinal leiomyoma diagnosed with EUS were studied. The location,size and layer origin of gastric and esophageal leiomyomas were analyzed and compared. The histological diagnosis of the resected specimens by endoscopy or surgery in some patients was compared with their results of ***: The majority of esophageal leiomyomas were located in the middle and lower part of the esophagus and their size was smaller than 1.0 cma, and 62.1% of esophageal leiomyomas originated from the muscularis mucosae. Most of the gastric leiomyomas were located in the body and fundus of the stomach with a size of 1-2 cm. Almost all gastric leiomyomas (94.2%) originated from the muscularis propria. The postoperative histological results of 54 patients treated by endoscopic resection or surgical excision were completely consistent with the preoperative diagnosis of EUS,and the diagnostic specificity of EUS to gastrointestinal leiomyoma was 94.7%.CONCLUSION: The size and layer origin of esophageal leiomyomas are different from that of gastric *** safe and accurate, EUS is the best method not only for gastrointestinal leiomyoma diagnosis but also for the follow-up of patients.
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