Gastric leiomyoma

Discussion:

The patient has been referred for gastroscopy. Biopsy and further surgery confirmed a gastric leiomyoma.  Its known that most leiomyomas are asymptomatic, but eventual ulceration may cause pain and signs of gastrointestinal bleeding. On imaging, this tumor is normally characterized as:

  • solitary mass
  • usually smaller than 3 cm
  • location: distal body of the stomach or fundus

The main differential diagnosis on imaging is made with a gastric GIST, which is much more common. 

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