What Kind of Gastric Tumor Is This?

Oscar M. Crespin, MD; Ali Kagan Coskun, MD; Brant K. Oelschlager, MD; Carlos A. Pellegrini, MD

Disclosures

January 15, 2014

Typical Presentation of Gastric Leiomyoma

Clinical presentation of a GLM depends on the size, location, and type of development (endo- or exogastric tumor).

Most GLMs are asymptomatic and are found at autopsy or during abdominal surgical exploration for other reasons.

Symptomatic GLM presents with upper gastrointestinal bleeding, atypical epigastric pain, or nonspecific dyspepsia. Intraperitoneal hemorrhage is unusual. Bleeding is generally produced by mucosal ulceration and is the most common complication in all forms, triggering an endoscopic evaluation.

Treatment with nonsteroidal anti-inflammatory drugs, corticosteroids, and anticoagulants have all been described as predisposing factors associated with GLM bleeding.[2,3]

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