Endosonographic surveillance of gastrointestinal tumour originated from muscularis propria: experiences in a community hospital

Endoscopic Removal of Small Gastrointestinal Stromal Tumors: Can We GIST-ify the Risk?

“…They also found that the risk for enlargement was related to initial tumor size [17 mm (P = 0.018) [14]. These observations are confirmed in several other small studies [11,12].…”

“…More information on the natural history of GISTs can be glistened from natural history studies of small GISTs that are not removed [7,[10][11][12]. Studies by Gill et al and Chien et al and have shown that the majority of subepithileal tumors \3 cm including GISTs do not change in size with a mean follow-up of 20.7 and 23 months, respectively [7,10].…”

Gastric subepithelial masses: evaluation of multidetector CT (multiplanar reconstruction and virtual gastroscopy) versus endoscopic ultrasonography

“…However, the management of small SEMs is not yet clear. Sufficient tissue samples cannot usually be obtained during endoscopic biopsy, and endoscopic resection carries a high risk of perforation [29,30]. In addition, these tumors are usually benign, and aggressive surgery is usually unnecessary for the asymptomatic patients [30].…”

“…Sufficient tissue samples cannot usually be obtained during endoscopic biopsy, and endoscopic resection carries a high risk of perforation [29,30]. In addition, these tumors are usually benign, and aggressive surgery is usually unnecessary for the asymptomatic patients [30]. MDCT provides detailed, high resolution axial image data sets to create multiplanar and three-dimensional reconstructions of the stomach.…”

Surgical Treatment of Gastrointestinal Stromal Tumors (GISTs)

“…Surgery is reserved for patients whose tumor increases in dimension or is symptomatic. The results of a recent retrospective analysis (Lok, Lai et al 2009) indicate that only some (3 out of 23; 13.0%) of the small tumors without high-risk EUS characteristics (large dimension, irregular extraluminal limits, heterogeneous echo pattern, presence of cystic areas, and hyperechoic foci) progressed during the long-term follow-up with EUS. As an alternative, the decision can be shared in an individual base with the patient, either to opt for an initial histological evaluation (needle biopsy) or for the tumor excision, when the morbidity is not substantial.…”