Gastric true leiomyoma

Computed tomographic findings and pathological correlation

Mi Jung Lee, Joon Seok Lim, Ji Eun Kwon, Hoguen Kim, Woo Jin Hyung, Mi Suk Park, Myeong Jin Kim, Ki Whang Kim

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

OBJECTIVE: This study describes the computed tomographic (CT) findings of true leiomyomas in the stomach. METHODS: Eleven patients with histopathologically proven gastric true leiomyomas were finally enrolled. All cases were CD117 (c-kit) negative on immunohistochemical study. We retrospectively reviewed the CT findings of gastric true leiomyomas for the following considerations: location, morphological features (size, contour, tumor growth pattern, and enhancement pattern), and ancillary findings (ulceration and calcification). RESULTS: All leiomyomas were in the cardia, with an average tumor size of 36 mm (range, 13-47 mm). Computed tomography scans revealed the morphological features as follows: tumor growth pattern: intraluminal mass (n = 10) and extraluminal masses (n = 1); contour: lobulated margin (n = 7) or smooth margin (n = 4). All lesions showed homogeneous contrast enhancement. Most of the tumors showed lower enhancement than those in the liver (n = 10). One case showed ulceration but no calcification. CONCLUSIONS: In conclusion, gastric leiomyomas are mainly located in the cardia and usually appeared as homogenous low attenuated masses on computed tomography.

Original languageEnglish
Pages (from-to)204-208
Number of pages5
JournalJournal of Computer Assisted Tomography
Volume31
Issue number2
DOIs
Publication statusPublished - 2007 Mar 1

Fingerprint

Leiomyoma
Stomach
Cardia
Neoplasms
Tomography
Growth
Liver

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Lee, Mi Jung ; Lim, Joon Seok ; Kwon, Ji Eun ; Kim, Hoguen ; Hyung, Woo Jin ; Park, Mi Suk ; Kim, Myeong Jin ; Kim, Ki Whang. / Gastric true leiomyoma : Computed tomographic findings and pathological correlation. In: Journal of Computer Assisted Tomography. 2007 ; Vol. 31, No. 2. pp. 204-208.
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Gastric true leiomyoma : Computed tomographic findings and pathological correlation. / Lee, Mi Jung; Lim, Joon Seok; Kwon, Ji Eun; Kim, Hoguen; Hyung, Woo Jin; Park, Mi Suk; Kim, Myeong Jin; Kim, Ki Whang.

In: Journal of Computer Assisted Tomography, Vol. 31, No. 2, 01.03.2007, p. 204-208.

Research output: Contribution to journalArticle

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AU - Lee, Mi Jung

AU - Lim, Joon Seok

AU - Kwon, Ji Eun

AU - Kim, Hoguen

AU - Hyung, Woo Jin

AU - Park, Mi Suk

AU - Kim, Myeong Jin

AU - Kim, Ki Whang

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N2 - OBJECTIVE: This study describes the computed tomographic (CT) findings of true leiomyomas in the stomach. METHODS: Eleven patients with histopathologically proven gastric true leiomyomas were finally enrolled. All cases were CD117 (c-kit) negative on immunohistochemical study. We retrospectively reviewed the CT findings of gastric true leiomyomas for the following considerations: location, morphological features (size, contour, tumor growth pattern, and enhancement pattern), and ancillary findings (ulceration and calcification). RESULTS: All leiomyomas were in the cardia, with an average tumor size of 36 mm (range, 13-47 mm). Computed tomography scans revealed the morphological features as follows: tumor growth pattern: intraluminal mass (n = 10) and extraluminal masses (n = 1); contour: lobulated margin (n = 7) or smooth margin (n = 4). All lesions showed homogeneous contrast enhancement. Most of the tumors showed lower enhancement than those in the liver (n = 10). One case showed ulceration but no calcification. CONCLUSIONS: In conclusion, gastric leiomyomas are mainly located in the cardia and usually appeared as homogenous low attenuated masses on computed tomography.

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