A Rare Gastric Subepithelial Lesion Removed through Submucosal Tunneling Endoscopic Resection: Case Report and Literature Review
Abstract
:1. Introduction
2. Case Presentation
3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Society, Year | Timing for Tissue Acquisition | Gastric GIST, <20 mm, without High-Risk Features 1 | Gastric SELs with Unclear Diagnosis |
---|---|---|---|
ESGE, 2022 [4] |
| Surveillance or resection | <10 mm EGD at 3–6 months, then at 2–3 years interval 10–20 mm EGD at 3–6 months, then at 1–2 years interval. Diagnostic resection is an alternative for SELs <20 mm after failure of attempts to obtain diagnosis >20 mm EGD + EUS at 6 months, then at 6–12 months interval |
AGA, 2022 [8] | Lesion arising from muscularis propria layer | Surveillance with EUS, 1 year interval | Not specifically mentioned |
ESMO–EURACAN–GENTURIS, 2022 [9] | Size > 20 mm | Resection. Surveillance is an alternative | <20 mm Active surveillance. short interval (e.g., 3 months) then increased interval. Resection as an alternative ≥ 20 mm Biopsy/excision |
NCCN, 2022 [10] | When surgical resection or oncological treatment is required | Periodic endoscopic or radiographic surveillance. Risk and benefit should be discussed with the patient | Not specifically mentioned |
ASGE, 2017 [5] | Lesions arising from submucosal or muscularis propria layer | Surveillance with EUS, 6–12 months interval | Removal as an alternative to tissue acquisition |
Asian consensus guidelines for GIST, 2016 [11] | When surgical resection or oncological treatment is required | Resection. Surveillance is an alternative after informing the risk of malignancy | Not specifically mentioned |
Japan GIST guideline subcommittee, 2008 [12] | Not specifically mentioned | Resection | <20 mm EGD at 6–12 months interval. When tumor growth or high-risk feature is noted, further examination is suggested, while resection is an alternative 20–50 mm Meticulous examinations with CT, EUS, and EUS-FNAB |
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Chien, M.-M.; Lin, Y.-H.; Chang, C.-C.; Chien, H.-Y. A Rare Gastric Subepithelial Lesion Removed through Submucosal Tunneling Endoscopic Resection: Case Report and Literature Review. Life 2023, 13, 179. https://doi.org/10.3390/life13010179
Chien M-M, Lin Y-H, Chang C-C, Chien H-Y. A Rare Gastric Subepithelial Lesion Removed through Submucosal Tunneling Endoscopic Resection: Case Report and Literature Review. Life. 2023; 13(1):179. https://doi.org/10.3390/life13010179
Chicago/Turabian StyleChien, Mu-Ming, Yun-Ho Lin, Chun-Chao Chang, and Hsi-Yuan Chien. 2023. "A Rare Gastric Subepithelial Lesion Removed through Submucosal Tunneling Endoscopic Resection: Case Report and Literature Review" Life 13, no. 1: 179. https://doi.org/10.3390/life13010179