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Gastric Leimyoblastoma or Leiomyosarcoma Carney's Triad


Gastric Leiomyoblastoma
The finding at endoscopy cannot be differentiated from a benign leiomyoma, or a gastric lymphoma. In Carney´s triad, the patients are young, most often female, and the gastric lesions are multiple. A finding like that in the stomach indicates for search for paragangliomas of extra-adrenal origin and pulmonary chondromas.


Gastric Leiomyoblastoma (or Leiomyosarcoma)
The tumours are often coated by normal gastric mucosa, and superficial biopsies taken during endoscopy will nog five the definite diagnosis.


Gastric Leiomyoblastoma with eroded mucosa
Sometimes the mucosa gets eroded, which results in bleeding. The dark circular area on the tumour in this picture is an eroded part of the mucosa. Haematemesis is often the first symtom in this disease.


Gastric Leiomyoblastoma
Endoscopic biopsies do not usually give a definite diagnosis. Surgical specimens are needed, histolocally it may be difficult to differentiate between a benign and a malignant lesion. If the same tissue is found in adjacent lymph nodes, malignancy is of course apparent.
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