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Gastric Leiomyoma


High resolution image: A small gastric leiomyoma seen with the endoscope in an inverted position

Gastric Leiomyoma
This is a common benign gastric tumour, arising from the muscular layer in the stomach wall. In endoscopy - and often also histologically - it may be impossible to distinguish from a leimyoblastoma or leiomyosarcoma.
  
Gastric Leiomyoma
The presenting symtom is most often gastrointestinal bleeding (haematemesis or melena) from the eroded part of the mucosa covering the tumour. The treatment is surgical removal of the tumour.
  
Leiomyomas belong to a group of tumors named GIST (GastroInstestinal Stromal Tumors) due to their mesenchymal origin.
  
Gastric Leiomyoma
This small leimyoma caused a slight nausea after meal, and was removed laparoscopically. If left in the stomach, it probably would have caused mucosal ulceration and bleeding in some years.
 
Gastric Leiomyoma
This picture is taken with an old fiberoptic instrument during the 70´ies. Leiomyomas smaller than 3 cm in diameter do not usually cause any symptoms, and could probably be left without treatment in a very old patient.

A Small Gastric Leiomyoma
This small gastric leiomyoma could be mistaken for a adenomatous polyp.

High resolution image: A small gastric leiomyoma

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