Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2024; 16(10): 3374-3376
Published online Oct 27, 2024. doi: 10.4240/wjgs.v16.i10.3374
Differential diagnosis of gastric submucosal masses and external pressure lesions
Ying Na, Xiang-Dong Liu, Hui-Min Xu
Ying Na, Department of Medical Imaging, Weifang People's Hospital, Weifang 261041, Shandong Province, China
Xiang-Dong Liu, Hui-Min Xu, Department of General Surgery, Weifang People's Hospital, Weifang 261041, Shandong Province, China
Author contributions: Na Y, Liu XD contributed to drafting of the article; Xu HM contributed to critical revision of the article for important intellectual content and final approval of the article.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Hui-Min Xu, MD, Chief Physician, Department of General Surgery, Weifang People's Hospital, No. 151 Guangwen Street, Kuiwen District, Weifang 261041, Shandong Province, China. xhm001@126.com
Received: July 21, 2024
Revised: August 29, 2024
Accepted: September 4, 2024
Published online: October 27, 2024
Processing time: 67 Days and 13.7 Hours
Abstract

Lesions of the left triangular ligament of the liver are rare, and there are even fewer cases of vascular tumors misdiagnosed as gastrointestinal stromal tumors. We comment on the two cases reported in the article. The article did not include pictures of laparoscopic surgery, making it unconvincing. For gastric submucosal lesions, enhanced computed tomography venous phase imaging may be beneficial for differential diagnosis. Although endoscopic ultrasound is an effective tool for diagnosing submucosal lesions of the stomach, due to various factors, it cannot achieve an accurate diagnosis. During endoscopic examination, a more accurate diagnosis can be made depending on the personal experience of the operators.

Keywords: Differential diagnosis; Gastric submucosal masses; External pressure lesions; Endoscopic ultrasonography; Computed tomography

Core Tip: We have raised some issues regarding the two cases reported in the article. No figures of laparoscopic surgery are shown in the article, which lacks persuasiveness. For gastric submucosal lesions, the accuracy of enhanced computed tomography venous phase imaging combined with endoscopic ultrasound diagnosis is high. During endoscopic examination, a more accurate diagnosis can be made based on the characteristics of gastric submucosal lesions.