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Gastric Leimyoblastoma or Leiomyosarcoma
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.
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.
The Best Image Library in the World!
That is what we would like Gastrolab Image Library and Endoscopic Archives to be.
Perhaps We can achieve this together? Many of You have ecxellent endoscopic images just waiting for publication. When published they can be an invaluable resource for young endoscopists and for gastroenterologic education. Images published here can freely be used for noncommercial purposes.
So, please email Your images here
together with a short caption, a notice that our site is permitted to publish them and information if You want a copyright sign © together with You email address (in which case possible commercial publishers can contact You to get permission to publish Your images).
Together we can make the best and most complete Image Library in the World!