ENDOSCOPIC, COMPUTED TOMOGRAPHY, AND HISTOPATHOLOGICAL CHARACTERISTICS OF SUBMUCOSAL TUMORS OF THE ESOPHAGUS AND STOMACH

Vĩnh Phúc La, Văn Lình Phạm, Huỳnh Trang1 Võ

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Abstract

Objective: To describe the endoscopic, computed tomography, and histopathological characteristics of submucosal tumors of the esophagus and stomach. Methods: A prospective and retrospective study was conducted on 69 patients with submucosal tumors less than 3 cm in diameter, diagnosed via flexible endoscopy at Can Tho University of Medicine and Pharmacy Hospital from October 2022 to February 2025. Results: Tumors were most frequently located in the antrum (31.9%), gastric body (27.5%), and esophagus (26.1%). The mean size on endoscopy was 14.04 ± 6.35 mm, with 100% of tumors having a smooth surface and 40.6% being mobile. On CT, tumors were not found in 40.6% of cases; in detected cases, the mean size was 14.59 ± 6.20 mm, 61.0% had adjacent vessels, and only 2.4% showed extraluminal growth. Histopathologically, leiomyomas were the most common type (42.0%), followed by ectopic pancreatic tissue (15.9%) and gastrointestinal stromal tumors (10.1%). Conclusion: The results provide data on the imaging and histopathological features, supporting the diagnosis and management of this pathology in Vietnam

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References

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