Home » AGEB Journal » Issues » Volume 87" » Fasc.4 - Clinical images » Article details

An unusual submucosal lesion

Journal Volume 87 - 2024
Issue Fasc.4 - Clinical images
Author(s) F. Felice 1, F. Dome 2, O. Plomteux 1, G. Demolin 1, P. Leclercq 1
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PAGES 538-539
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DOI10.51821/87.4.13515
Affiliations:
(1) Gastroenterology Unit, Clinique MontLégia, CHC Groupe Santé, Liège, Belgium
(2) Anatomopathology Unit, Clinique MontLégia, CHC Groupe Santé, Liège, Belgium

We report the case of a 33y old woman who underwent upper-GI endoscopy for epigastric pain. The first endoscopy showed a pericentimetric submucosal lesion located on the lesser curve of the antrum. The superficial biopsies of the lesion concluded to chronic gastritis. An echo-endoscopy was performed to obtain new biopsies, and showed a well-defined, hypo-echoic, submucosal lesion of approximately 16mm. Biopsy was not possible because of its mobility. At this point, the differential diagnosis were leiomyoma and GIST. To obtain a formal diagnosis through mucosal incision assisted biopsy, a second endoscopy was performed 4 months later; the lesion had significantly grown (to 25mm), presenting as a Paris 0-Ip lesion, with superficial ulceration (figure 1). What is your diagnosis?

The authors declare that they have no conflict of interest.
© Acta Gastro-Enterologica Belgica.
PMID 39745044