Current Status of Endoscopic Ultrasonography in Gastrointestinal Subepithelial Tumors
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Gastrointestinal subepithelial tumors (GSTs) are usually detected incidentally on endoscopic or radiologic examinations. In conventional endoscopy, a GST usually presents as a protuberant lesion with an intact mucosal surface. As the lesion is located beneaththe mucosal layer of the gastrointestinal tract, conventional biopsy typically does not reveal the pathologic diagnosis. First, a GSTshould be differentiated from an extrinsic compression through the positional change of the patient during conventional endoscopicexamination. In cases of GSTs originating from the gastrointestinal wall, endoscopic ultrasonography (EUS) can be beneficial fornarrowing the differential diagnosis through delineation of echo findings and by determining the layer of origin. EUS findings can alsohelp determine the management strategies for GSTs by making a differential diagnosis according to malignant potential.
Abstract
Gastrointestinal subepithelial tumors (GSTs) are usually detected incidentally on endoscopic or radiologic examinations. In conventional endoscopy, a GST usually presents as a protuberant lesion with an intact mucosal surface. As the lesion is located beneaththe mucosal layer of the gastrointestinal tract, conventional biopsy typically does not reveal the pathologic diagnosis. First, a GSTshould be differentiated from an extrinsic compression through the positional change of the patient during conventional endoscopicexamination. In cases of GSTs originating from the gastrointestinal wall, endoscopic ultrasonography (EUS) can be beneficial fornarrowing the differential diagnosis through delineation of echo findings and by determining the layer of origin. EUS findings can alsohelp determine the management strategies for GSTs by making a differential diagnosis according to malignant potential.
참고문헌 (17)
- Song JH, "Risk of progression for incidental small subepithelial tumors in the upper gastrointestinal tract", Endoscopy, 47, pp.675~679 (2015)
- Hedenbro JL, "Endoscopic diagnosis of submucosal gastric lesions. The results after routine endoscopy", Surg Endosc, 5, pp.20~23 (1991)
- Lim YJ, "Clinical course of subepithelial lesions detected on upper gastrointestinal endoscopy", World J Gastroenterol, 16, pp.439~444 (2010)
- Nishida T, "Submucosal tumors : comprehensive guide for the diagnosis and therapy of gastrointestinal submucosal tumors", Dig Endosc, 25, pp.479~489 (2013)
- 공은정, "Endoscopic Ultrasonography in the Diagnosis of Gastric Subepithelial Lesions", Clinical Endoscopy, 49(5), pp.425~433 (2016), 대한소화기내시경학회
- Jeong Seop Moon, "Role of Endoscopic Ultrasonography in Guiding Treatment Plans for Upper Gastrointestinal Subepithelial Tumors", Clinical Endoscopy, 49(3), pp.220~225 (2016), 대한소화기내시경학회
- 김용욱, "위 내 벽외성 압박의 위치에 따른 임상적 의미", Clinical Endoscopy, 39(3), pp.125~130 (2009), 대한소화기내시경학회
- 편성익, "식도 내 벽외성 압박의 위치에 따른 임상적 의미", Korean Journal of Helicobacter Upper Gastrointestinal Research, 17(3), pp.127~131 (2017), 대한상부위장관ㆍ헬리코박터학회[DOI]
- 김태오, "Colorectal Subepithelial Lesion", Clinical Endoscopy, 48(4), pp.302~307 (2015), 대한소화기내시경학회
- Miettinen M, "Gastrointestinal stromal tumors of the jejunum and ileum : a clinicopathologic, immunohistochemical, and molecular genetic study of 906 cases before imatinib with long-term follow-up", Am J Surg Pathol, 30, pp.477~489 (2006)
- Hwang JH, "The incidental upper gastrointestinal subepithelial mass", Gastroenterology, 126, pp.301~307 (2004)
- Brand B, "Impact of endoscopic ultrasound for evaluation of submucosal lesions in gastrointestinal tract", Dig Liver Dis, 34, pp.290~297 (2002)
- Palazzo L, "Endosonographic features predictive of benign and malignant gastrointestinal stromal cell tumours", Gut, 46, pp.88~92 (2000)
- 김미나, "Prediction of Risk of Malignancy of Gastrointestinal Stromal Tumors by Endoscopic Ultrasonography", Gut and Liver, 7(6), pp.642~647 (2013), 거트앤리버 소화기연관학회협의회
- Hwang JH, "American Gastroenterological Association Institute technical review on the management of gastric subepithelial masses", Gastroenterology, 130, pp.2217~2228 (2006)
- Menon L, "Endoscopic approach to subepithelial lesions", Therap Adv Gastroenterol, 7, pp.123~130 (2014)
- Kim GH, "Comparison of 22-gauge aspiration needle with 22-gauge biopsy needle in endoscopic ultrasonography-guided subepithelial tumor sampling", Scand J Gastroenterol, 49, pp.347~354 (2014)