2013
DOI: 10.1155/2013/414518
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Diagnosing a Gastric Submucosal Tumor Using Jumbo Biopsy “Unroofing” Technique: A Case Report and Review of the Literature

Abstract: We report a case of a 40-year-old female who presented with dyspeptic symptoms for six months. Upper GI endoscopy revealed a submucosal nodule in gastric antrum. Using “jumbo biopsy unroofing technique” we were able to get adequate tissue for analysis. Histopathology revealed a type III gastric carcinoid. Patient was treated with laparoscopic distal subtotal gastrectomy with Roux-en-Y reconstruction and partial omentectomy. Although there was no evidence of metastasis on initial presentation, eighteen months l… Show more

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“…The reported incidence of submucosal tumors on esophagogastroduodenoscopy is approximately 0.4% [ 1 , 2 ]. Submucosal tumors in the upper gastrointestinal tract include a wide range of histologic entities, for example, leiomyoma, lipoma, ectopic pancreas, lymphoma, gastrointestinal stromal tumor (GIST), neuroendocrine tumor, neurofibroma, and schwannoma [ 3 ]. The histologic diagnosis of these tumors is sometimes difficult, even by stacked (bite-on-bite) biopsies.…”
Section: Introductionmentioning
confidence: 99%
“…The reported incidence of submucosal tumors on esophagogastroduodenoscopy is approximately 0.4% [ 1 , 2 ]. Submucosal tumors in the upper gastrointestinal tract include a wide range of histologic entities, for example, leiomyoma, lipoma, ectopic pancreas, lymphoma, gastrointestinal stromal tumor (GIST), neuroendocrine tumor, neurofibroma, and schwannoma [ 3 ]. The histologic diagnosis of these tumors is sometimes difficult, even by stacked (bite-on-bite) biopsies.…”
Section: Introductionmentioning
confidence: 99%