What symptom does gastric myoma have?

summary

Gastric myoma is a benign tumor originated from smooth muscle tissue, and is the most common benign stromal gastric tumor. Leiomyoma with diameter of <2 cm has no clinical symptoms, but the incidence rate is high. Early surgical treatment has a good prognosis. Severe cases can show bleeding, abdominal pain, abdominal distension, abdominal mass and so on, in which bleeding is the most common symptom. What symptom does gastric myoma have? Let's talk about it.

What symptom does gastric myoma have?

1. Gastrointestinal bleeding is a prominent clinical manifestation of gastric leiomyoma. It has been reported that the incidence of gastrointestinal bleeding is 58%. It often presents intermittent small amount of bleeding with different duration. Occasionally, massive bleeding leads to shock. The occurrence of bleeding is related to the compression of the mass or the formation of Central ischemic necrosis and surface ulcer due to insufficient blood supply of the tumor.

2. Abdominal pain is often caused by tumor traction, compression of adjacent tissues, uncoordinated peristalsis of digestive tract, dysfunction, etc. it often presents dull pain or distending pain, and the location is not accurate. It usually appears before gastrointestinal bleeding or abdominal mass is found.

3. Whether the abdominal mass is touched or not is related to the size of the tumor, its growth site and growth mode. If the diameter is more than 5cm, it is easy to touch if the tumor grows out of the cavity.

matters needing attention

Because it is difficult to differentiate gastric leiomyoma from leiomyosarcoma, and leiomyoma can be malignant, surgical treatment is appropriate. In general, extensive local resection should be chosen, and the cutting edge should be at least 2-3cm away from the edge of the tumor. If malignant transformation is suspected, subtotal gastrectomy or total gastrectomy should be performed.