Differential diagnosis of gastric submucosal masses and external pressure lesions.

IF 1.8 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastrointestinal Surgery Pub Date : 2024-10-27 DOI:10.4240/wjgs.v16.i10.3374
Ying Na, Xiang-Dong Liu, Hui-Min Xu
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Abstract

Lesions of the left triangular ligament of the liver are rare, and there are even fewer cases of vascular tumors misdiagnosed as gastrointestinal stromal tumors. We comment on the two cases reported in the article. The article did not include pictures of laparoscopic surgery, making it unconvincing. For gastric submucosal lesions, enhanced computed tomography venous phase imaging may be beneficial for differential diagnosis. Although endoscopic ultrasound is an effective tool for diagnosing submucosal lesions of the stomach, due to various factors, it cannot achieve an accurate diagnosis. During endoscopic examination, a more accurate diagnosis can be made depending on the personal experience of the operators.

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胃黏膜下肿块和外部压力病变的鉴别诊断。
肝左三角韧带的病变非常罕见,而血管肿瘤被误诊为胃肠道间质瘤的病例更是少之又少。我们对文章中报道的两例病例进行评论。文章没有附上腹腔镜手术的图片,因此缺乏说服力。对于胃黏膜下病变,增强型计算机断层扫描静脉相位成像可能有利于鉴别诊断。虽然内镜超声是诊断胃黏膜下病变的有效工具,但由于各种因素,内镜超声并不能实现准确诊断。在内窥镜检查中,根据操作者的个人经验,可以做出更准确的诊断。
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