Submucosal resection of giant gastric lipoma

Zak, Yulia; Biagini, Blanche; Moore, Harvey G.; DeSantis, Mark; Ghosh, Bimal C.

doi:10.1002/jso.20551

Cited by 15 publications

(16 citation statements)

References 1 publication

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“…Most other SMTs have a benign nature and the need for treatment depends mainly on symptoms [28][29][30]. Therefore, it is important to be able to differentiate benign SMTs from gastric mesenchymal tumors.…”

Section: Gastric Mesenchymal Tumors Versus Other Gastric Submucosal Tmentioning

confidence: 99%

Role of EUS and MDCT in the diagnosis of gastric submucosal tumors according to the revised pathologic concept of gastrointestinal stromal tumors

et al. 2008

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Gastric submucosal tumors (SMTs) consist of various lesions arising from the deep layers of the stomach. Gastrointestinal stromal tumors (GISTs) are undoubtedly the commonest malignant SMTs of the stomach, and therefore the attitude towards the general diagnostic approach for GISTs defines the extended diagnostic plan for SMTs. Two recent consensus meetings were assembled concerning the classification and therapeutic plans for GISTs. These meetings shed light upon the need for the modification of the current role of imaging modalities, including endoscopic ultrasound (EUS) and computed tomography (CT). According to the revised concepts of GISTs, the most important and plausible current role of imaging for the diagnostic approach of gastric SMTs is to differentiate GISTs from other gastric SMTs. This review discusses the newly established diagnostic role of radiology according to the revised classification of GISTs and provides the differential diagnoses based on EUS and CT findings.

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Section: Gastric Mesenchymal Tumors Versus Other Gastric Submucosal Tmentioning

confidence: 99%

Role of EUS and MDCT in the diagnosis of gastric submucosal tumors according to the revised pathologic concept of gastrointestinal stromal tumors

et al. 2008

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“…There is a similar problem during endoscopic procedures. Computerized tomography (CT) is a highly specialized method in diagnosing lipoma and it is recommended for diagnosis of symptomatic lipoma and lipoma bigger than 2cm [6,9,13]. Still, CT is frequently not a part of standard diagnostic process, so the most reliable and definite diagnosis is made by pathohistological analysis [13].…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, there are cases of synchronous appearance of stomach lipoma and early stomach adenocarcinoma [10,13].…”

Section: Introductionmentioning

confidence: 99%

Lipomas of the gastrointestinal system

Dolai

Andrejic

Ivanov³

2012

Med pregl

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Lipomas are rare benign tumors in the gastrointestinal system. Within the gastrointestinal system, 65% of the lipomas are located in the colon (sigmoid part of the colon or rectum) and rarely in the stomach and esophagus. The paper presents two gastrointestinal lipomas. First is the case of lipoma of the sigmoid colon and the other one is gastric lipoma. In both cases the material was sent for histopathological analysis due to suspicion of malignancy of the lesions. In both cases, the histopathologic analysis showed tumor made of mature adipocytes, localized in the submucosa both of the stomach and intestine. Hypercellularity and/or atypia of the cell was found in neither case. Lipomas are shown because of its atypical localization and clinically suspicious malignancy in the stomach and sigmoid colon. These cases show that the applied methods of preoperative diagnosis of tumors in the gastrointestinal system are not sufficient to determine the origin and biological behavior of tumors. Histopathological diagnosis provides a correct insight into the nature of tumors and determine the course of treatment. This paper presents a rare localization of lipomas in the gastrointestinal system. The preoperative diagnosis of lesions in the gastrointestinal system may not be sufficient to determine the origin and biological behavior of the lesions, hence the histopathological diagnosis gives an accurate insight into the nature of the change, preventing the possibility of further aggressive therapy.

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“…The choice of treatment for gastric lipomas is still controversial [16] . It was reported that different surgical and endoscopic procedures have been used in treatment of submucosal lipomas, but more accurate diagnosis preoperatively enable the replacement of previously used resection methods [6,9] by limited procedures such as tumor enucleation, partial resection or other endoscopic and minimally invasive procedures [4,7,10,11,20] . Although there are no malignant transfor mations of a gastric lipoma, coincidental separated malignant lesions have been reported [18] .…”

Section: Discussionmentioning

confidence: 99%

“…Lipomas found in the stomach are even more unusual, accounting for 2%-3% of all benign gastric tumors [2,3] . They are of submucosal or extremely rare subserosal origin, most frequently localized to the antrum [4][5][6][7] . Although it is reported that 5%-10% of gastric lipomas are located at subserosal layer [1] , so far, there is no report on treatment of subserosal gastric lipomas in the English medical literature.…”

Section: Introductionmentioning

confidence: 99%

Symptomatic subserosal gastric lipoma successfully treated with enucleation

Krasniqi¹,

Hoxha²,

Bicaj³

et al. 2008

WJG

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Gastric lipomas are rare tumors, accounting for 2%-3% of all benign gastric tumors. They are of submucosal or extremely rare subserosal origin. Although most gastric lipomas are usually detected incidentally, they can cause abdominal pain, dyspeptic disorders, obstruction, invagination, and hemorrhages. Subserosal gastric lipomas are rarely symptomatic. There is no report on treatment of subserosal gastric lipomas in the English literature. We present a case of a 50-year-old male with symptomatic subserosal gastric lipoma which was successfully managed with removal, enucleation of lipoma, explorative gastrotomy and edge resection for histology check of gastric wall. The incidence of gastric lipoma, advanced diagnostic possibilities and their role in treatment modalities are discussed.

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Submucosal resection of giant gastric lipoma

Cited by 15 publications

References 1 publication

Role of EUS and MDCT in the diagnosis of gastric submucosal tumors according to the revised pathologic concept of gastrointestinal stromal tumors

Role of EUS and MDCT in the diagnosis of gastric submucosal tumors according to the revised pathologic concept of gastrointestinal stromal tumors

Lipomas of the gastrointestinal system

Symptomatic subserosal gastric lipoma successfully treated with enucleation

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