Mucosal Incision and Forceps Biopsy for Reliable Tissue Sampling of Gastric Subepithelial Tumors

Background/Aims The diagnostic efficacy of current tissue sampling techniques for gastric subepithelial tumors (SETs) is limited. Better tissue sampling techniques are needed to improve pathological diagnosis. The aim of this study was to evaluate the safety and efficacy of a new technique, mucosal...

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Main Authors: Sa Young Shin, Sang Jin Lee, Jae Hyuck Jun, Jong Kyu Park, Hyun Il Seo, Koon Hee Han, Young Don Kim, Woo Jin Jeong, Gab Jin Cheon
Format: Article
Language:English
Published: Korean Society of Gastrointestinal Endoscopy 2017-01-01
Series:Clinical Endoscopy
Subjects:
Online Access:http://www.e-ce.org/upload/pdf/ce-2015-094.pdf
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author Sa Young Shin
Sang Jin Lee
Jae Hyuck Jun
Jong Kyu Park
Hyun Il Seo
Koon Hee Han
Young Don Kim
Woo Jin Jeong
Gab Jin Cheon
author_facet Sa Young Shin
Sang Jin Lee
Jae Hyuck Jun
Jong Kyu Park
Hyun Il Seo
Koon Hee Han
Young Don Kim
Woo Jin Jeong
Gab Jin Cheon
author_sort Sa Young Shin
collection DOAJ
description Background/Aims The diagnostic efficacy of current tissue sampling techniques for gastric subepithelial tumors (SETs) is limited. Better tissue sampling techniques are needed to improve pathological diagnosis. The aim of this study was to evaluate the safety and efficacy of a new technique, mucosal incision and forceps biopsy, for reliable tissue sampling of gastric SETs. Methods This study enrolled 12 consecutive patients who underwent mucosal incision and forceps biopsy of gastric SETs between November 2011 and September 2014 at Gangneung Asan Hospital. The medical records of patients were reviewed retrospectively. The safety and diagnostic yield of this method were evaluated. Results By performing mucosal incision and forceps biopsy, we were able to provide a definitive histological diagnosis for 11 out of 12 cases. The pathological diagnoses were leiomyoma (3/11), gastrointestinal stromal tumor (GIST; 2/11), lipoma (2/11), schwannoma (1/11), and ectopic pancreas (3/11). In cases of leiomyoma (n=3) and GIST (n=2), tissue samples were of sufficient size to allow immunohistochemical staining. In addition, the mitotic index was evaluated in two cases of GIST. There were no procedure-related complications. Conclusions Mucosal incision and forceps biopsy can be used as one of several methods to obtain adequate tissue samples from gastric SETs.
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spelling doaj.art-fd01b172fb124ede85216fd07583f0ec2023-10-02T01:33:49ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432017-01-01501646810.5946/ce.2015.0946846Mucosal Incision and Forceps Biopsy for Reliable Tissue Sampling of Gastric Subepithelial TumorsSa Young ShinSang Jin LeeJae Hyuck JunJong Kyu ParkHyun Il SeoKoon Hee HanYoung Don KimWoo Jin JeongGab Jin CheonBackground/Aims The diagnostic efficacy of current tissue sampling techniques for gastric subepithelial tumors (SETs) is limited. Better tissue sampling techniques are needed to improve pathological diagnosis. The aim of this study was to evaluate the safety and efficacy of a new technique, mucosal incision and forceps biopsy, for reliable tissue sampling of gastric SETs. Methods This study enrolled 12 consecutive patients who underwent mucosal incision and forceps biopsy of gastric SETs between November 2011 and September 2014 at Gangneung Asan Hospital. The medical records of patients were reviewed retrospectively. The safety and diagnostic yield of this method were evaluated. Results By performing mucosal incision and forceps biopsy, we were able to provide a definitive histological diagnosis for 11 out of 12 cases. The pathological diagnoses were leiomyoma (3/11), gastrointestinal stromal tumor (GIST; 2/11), lipoma (2/11), schwannoma (1/11), and ectopic pancreas (3/11). In cases of leiomyoma (n=3) and GIST (n=2), tissue samples were of sufficient size to allow immunohistochemical staining. In addition, the mitotic index was evaluated in two cases of GIST. There were no procedure-related complications. Conclusions Mucosal incision and forceps biopsy can be used as one of several methods to obtain adequate tissue samples from gastric SETs.http://www.e-ce.org/upload/pdf/ce-2015-094.pdfStomachBiopsyGastroscopyDiagnosis
spellingShingle Sa Young Shin
Sang Jin Lee
Jae Hyuck Jun
Jong Kyu Park
Hyun Il Seo
Koon Hee Han
Young Don Kim
Woo Jin Jeong
Gab Jin Cheon
Mucosal Incision and Forceps Biopsy for Reliable Tissue Sampling of Gastric Subepithelial Tumors
Clinical Endoscopy
Stomach
Biopsy
Gastroscopy
Diagnosis
title Mucosal Incision and Forceps Biopsy for Reliable Tissue Sampling of Gastric Subepithelial Tumors
title_full Mucosal Incision and Forceps Biopsy for Reliable Tissue Sampling of Gastric Subepithelial Tumors
title_fullStr Mucosal Incision and Forceps Biopsy for Reliable Tissue Sampling of Gastric Subepithelial Tumors
title_full_unstemmed Mucosal Incision and Forceps Biopsy for Reliable Tissue Sampling of Gastric Subepithelial Tumors
title_short Mucosal Incision and Forceps Biopsy for Reliable Tissue Sampling of Gastric Subepithelial Tumors
title_sort mucosal incision and forceps biopsy for reliable tissue sampling of gastric subepithelial tumors
topic Stomach
Biopsy
Gastroscopy
Diagnosis
url http://www.e-ce.org/upload/pdf/ce-2015-094.pdf
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