Gastric GIST# ( video, figures)

google.com, pub-4485728567761794, DIRECT, f08c47fec0942fa0 

A 58-year-old woman presented with epigastric pain and discomfort was admitted to the endoscopy unit. The patient underwent multislice computed tomography that showed a mass arising from the posterior wall of the stomach measuring 35×26 mm, it appeared well defined, hypodense with homogenous soft tissue density. The surrounding fat planes are clear. The patient underwent upper digestive endoscopy. The scope revealed a globular polypoid mass protruding from the posterior wall of the stomach just beneath the gastroesophageal junction. There is an ulcer over the tip of the polyp (highly suggestive of GIST#).

What is your opinion?

1-      Biopsy using the gastroscope.

2-      Biopsy using endoscopic ultrasound.

3-      Endoscopic resection using EMR#.

4-      Endoscopic resection using submucosal dissection.

5-      Surgery.

6-       Two of the above are true.
      google.com, pub-4485728567761794, DIRECT, f08c47fec0942fa0