Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2023; 15(9): 2012-2020
Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.2012
Value of enhanced computed tomography in differentiating small mesenchymal tumours of the gastrointestinal from smooth muscle tumours
Wen-Jun Nie, Zhao Jing, Mo Hua
Wen-Jun Nie, Mo Hua, Department of Radiology, Changzhou Geriatric Hospital Affiliated to Soochow University, Changzhou No. 7 People’s Hospital Radiology Department, Changzhou 213011, Jiangsu Province, China
Zhao Jing, Medical Area, Eastern Theater General Hospital, Qinhuai District Medical Area, Nanjing 210000, Jiangsu Province, China
Author contributions: Nie WJ and Hua M contributed equally to this work; Hua M designed the study; Zhao J contributed to the analysis of the manuscript; Nie WJ and Hua M were involved in the data and writing of this article; and all authors have read and approved the final manuscript.
Institutional review board statement: The study was reviewed and approved by the (Changzhou Geriatric Hospital Affiliated to Soochow University, Changzhou No. 7 People’s Hospital Radiology Department) Institutional Review Board.
Informed consent statement: All study participants and their legal guardians provide informed written consent before the study recruitment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
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: Mo Hua, MD, Attending Doctor, Department of Radiology, Changzhou Geriatric Hospital Affiliated to Soochow University, Changzhou No. 7 People’s Hospital Radiology Department, No. 288 Yanling East Road, Changzhou 213011, Jiangsu Province, China. mohuafsk913044@sina.com
Received: June 30, 2023
Peer-review started: June 30, 2023
First decision: July 18, 2023
Revised: July 24, 2023
Accepted: August 4, 2023
Article in press: August 4, 2023
Published online: September 27, 2023
Processing time: 84 Days and 3.8 Hours
ARTICLE HIGHLIGHTS
Research background

With the development of computed tomography technology, the differentiation of small mesenchymal tumors of the stomach and intestines from for smooth muscle tumors has been gradually used in this method.

Research motivation

To retrospectively analyze the clinical data of patients with gastric mesenchymal tumor and gastric smooth muscle tumor treated in our hospital from May 2018 to April 2023, and include them into the gastric mesenchymal tumor group and the gastric smooth muscle tumor group respectively, both groups consisted of 50 cases, and the clinical data of 50 healthy volunteers who received physical examination in our hospital during the same period were selected and included into the control group; to compare the serum carcinoembryonic antigen (CEA), alpha-fetoprotein, carbohydrate antigen 19-9 (CA19-9).

Research objectives

The Kappa test was used to analyse the consistency of the combined CEA and CA19-9 test in identifying gastric mesenchymal tumours.

Research methods

Clinical data of patients with gastric mesenchymal or gastric smooth muscle tumours who were treated in our hospital from May 2018 to April 2023 were retrospectively analysed. The value of CEA and CA19-9 in the identification of gastric mesenchymal tumours was analysed using the receiver operating characteristic curve.

Research results

When comparing the CEA levels of the three groups, the gastric mesenchymal tumour group > the control group > the gastric smooth muscle tumour group; when comparing the CA19-9 levels of the three groups, the gastric mesenchymal group > the gastric smooth muscle group > the control group, the difference was statistically significant (P < 0.05). The area under the curve of CEA and CA19-9 was 0. 879 and 0. 782, respectively, by receiver operating characteristic analysis.

Research conclusions

We proposed the theory of nodular and vesicle types domestically through observation, and made breakthroughs in overcoming the issue of inaccurate diagnosis based on a few independent early-stage case reports.

Research perspectives

According to the different partings under endoscopy, the clinical symptoms, therapeutic efficacy, and prognosis of patients with primary enteric lymphangiectasis were observed.