Copyright
©The Author(s) 2017.
World J Gastroenterol. Mar 28, 2017; 23(12): 2194-2200
Published online Mar 28, 2017. doi: 10.3748/wjg.v23.i12.2194
Published online Mar 28, 2017. doi: 10.3748/wjg.v23.i12.2194
Table 1 Basic characteristics and endoscopic ultrasound findings in 88 patients with suspected gastrointestinal stromal tumors in the stomach
Basic characteristic or EUS finding | Stationary group n = 63 | Progressive group n = 25 | P value |
Age (mean ± SD, yr) | 57.4 ± 10.6 | 56.4 ± 12.4 | 0.690 |
Sex (M/F) | 35/28 | 9/16 | 0.100 |
Location | 0.650 | ||
Cardia | 16 | 5 | |
Fundus | 16 | 8 | |
Body | 24 | 11 | |
Antrum | 7 | 1 | |
EUS tumor size and echotexture | |||
Initial tumor size (mean ± SD, mm) | 13.9 ± 4.5 | 16.6 ± 5.5 | 0.020 |
Homogeneous/ heterogeneous hypoechoicity | 44/19 | 12/13 | 0.060 |
Smooth/irregular tumor border | 56/7 | 15/10 | 0.002 |
With/without internal cystic change or calcification | 8/55 | 4/21 | 0.680 |
EUS surveillance | |||
Surveillance duration (mean ± SD, mo) | 24.6 ± 20.3 | 30.7 ± 21.7 | 0.220 |
Table 2 Basic characteristics and endoscopic ultrasound findings in13 patients with confirmed gastrointestinal stromal tumors in the stomach
Case | Age (yr)/sex | Location | Heterogeneous hypoechoic echotexture | Irregular border | Internal cystic change or calcification | Initial size (I, mm) | Final size (F, mm) | Tumor progression (F/I≥ 1.2) | Surveillance procedures | Surveillance duration (mo) | Malignant potential |
1 | 41/F | Body | + | - | - | 15 | 23 | + | 4 | 82.1 | Very low |
2 | 67/F | Fundus | + | - | + | 15 | 23 | + | 5 | 66.5 | Very low |
3 | 50/F | Cardia | - | + | - | 16 | 20 | + | 4 | 22.8 | Very low |
4 | 70/M | Body | - | - | - | 15 | 20 | + | 8 | 37.9 | Very low |
5 | 57/F | Cardia | + | + | - | 28 | 50 | + | 3 | 19.3 | Low |
6 | 46/M | Fundus | + | + | - | 30 | 35 | + | 2 | 3.4 | Low |
7 | 55/F | Antrum | - | - | - | 18 | 23 | + | 2 | 63.0 | Low |
8 | 69/F | Body | - | - | - | 21 | 28 | + | 2 | 3.7 | Low |
9 | 49/M | Body | + | + | - | 24 | 30 | + | 3 | 47.9 | Low |
10 | 61/F | Fundus | + | + | - | 24 | 33 | + | 6 | 41.9 | Low |
11 | 54/M | Body | + | + | - | 21 | 28 | + | 5 | 32.1 | Intermediate |
12 | 59/F | Body | + | + | - | 18 | 23 | + | 2 | 5.5 | Intermediate |
13 | 60/F | Fundus | + | + | - | 30 | 51 | + | 2 | 31.3 | High |
Table 3 Basic characteristics and endoscopic ultrasound findings in 4 patients with confirmed leiomyomas in the stomach
Case | Age (yr)/sex | Location | Heterogeneous hypoechoic echotexture | Irregular border | Internal cystic change or calcification | Initial size (I, mm) | Final size (F, mm) | Tumor progression (F/I≥ 1.2) | Surveillance procedures | Surveillance duration(mo) |
1 | 69/F | Body | - | - | - | 10 | 10 | - | 2 | 3.5 |
2 | 52/M | Fundus | - | - | - | 10 | 9 | - | 2 | 3.7 |
3 | 64/F | Antrum | + | - | - | 13 | 13 | - | 3 | 21.3 |
4 | 50/M | Cardia | + | + | + | 18 | 20 | - | 2 | 3.0 |
Table 4 Comparison of basic characteristics and endoscopic ultrasound findings between patients with gastrointestinal stromal tumors and leiomyomas by the Mann -Whitney U test
Basic characteristic or EUS finding | GIST n = 13 | Leiomyoma n = 4 | P value |
Age (median, range, yr) | 57 (41-70) | 58 (50-69) | 0.785 |
Sex (M/F) | 4/9 | 2/2 | 0.482 |
Location | 0.868 | ||
Cardia | 2 | 1 | |
Fundus | 4 | 1 | |
Body | 6 | 1 | |
Antrum | 1 | 1 | |
EUS tumor size and echotexture | |||
Initial tumor size (median, mm) | 21 | 11.5 | 0.015 |
Final tumor size (median, mm ) | 28 | 11.5 | 0.003 |
Homogeneous/heterogeneous hypoechoicity | 4/9 | 2/2 | 0.482 |
Smooth/ irregular tumor border | 5/8 | 0/4 | 0.682 |
With/without internal cystic change or calcification | 1/12 | 0/4 | 0.567 |
EUS surveillance | |||
Surveillance duration (median, range, mo) | 31.3 (3.1-81.0) | 3.6 (3.0-21.4) | 0.023 |
Surveillance procedure (median, range, times) | 3 (2-8) | 2 (2-3) | 0.163 |
Tumor progression | 13 | 0 | < 0.001 |
- Citation: Hu ML, Wu KL, Changchien CS, Chuah SK, Chiu YC. Endosonographic surveillance of 1-3 cm gastric submucosal tumors originating from muscularis propria. World J Gastroenterol 2017; 23(12): 2194-2200
- URL: https://www.wjgnet.com/1007-9327/full/v23/i12/2194.htm
- DOI: https://dx.doi.org/10.3748/wjg.v23.i12.2194