The Role of Endoscopic Ultrasonography in Differentiating Benign and Malignant Stromal Tumors of Upper Gastrointestinal Tract.
- Author:
Yong Han PAIK
1
;
Yong Chan LEE
;
Jae Bock CHUNG
;
Jae Ha WHANG
;
Young Myung MOON
;
Jin Kyung KANG
;
In Suh PARK
Author Information
1. Department of Internal Medicine, Yonsei University, College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Stromal tumor;
Endoscopic ultrasonography ( EUS );
Malignancy
- MeSH:
Endosonography*;
Upper Gastrointestinal Tract*;
Videotape Recording
- From:Korean Journal of Gastrointestinal Endoscopy
1998;18(6):825-831
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Endoscopic ultrasonography (EUS) has been useful in evaluating submucosal lesions of the upper gastrointestinal tract as well as providing guidelines for therapeutic plans. Large proportions of submucosal tumors are diagnosed as stromal tumors. Most are benign, but a significant proportion of them could be malignant. There are a few reports concerning EUS findings as being predictive of malignancy. The aim of this study was to evaluate specific EUS features favoring malignancy in stromal tumors of the UGI tract. METHODS: From January, 1992 to June, 1997, thirty-three cases appeared involving stromal tumors (18 benign, 15 malignant (including 8 STUMP)), and were either surgically (27 cases) or endoscopically (6 cases) resected. Videotapes and photographs were reviewed and EUS features that favored the malignancy were analyzed.