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- W2016037385 abstract "There is no clinical predictor for the enlargement potential of gastric GI stromal tumors (GISTs) during the follow-up observation period.The aim of our study was to identify predictive markers for the enlargement potential of gastric GISTs on the basis of various endosonographic features determined at the initial examination.Single-center retrospective analysis.Academic university hospital in Japan.All patients (n = 74) with histologically diagnosed GISTs in the stomach underwent EUS.EUS.We analyzed the following endoscopic and EUS features: mucosal ulceration, irregular shape, irregular border, heterogeneity, internal hyperechoic spot, hypoechoic area, and anechoic area of gastric GISTs in 3 groups according to tumor size. Furthermore, we compared the characteristics between increased growth and unchanged growth of GISTs, that were defined on the basis of the novel tumor growth index: changes in tumor volume/follow-up interval (days between initial EUS and second EUS) (mm(3)/day).The presence of heterogeneity (P = .016) and anechoic area (P = .003) was significantly highest in the group with the largest tumor size. The increased growth group had a higher presence of hypoechoic area than did the unchanged growth group (84.2% vs 51.9%, P = .023). Multivariate analysis showed that the presence of a hypoechoic area was an enlargement-associated factor (odds ratio 5.38; 95% confidence interval 1.19-24.39; P = .029).Retrospective design of the study.The internal hypoechoic area determined by EUS may be a predictor for the enlargement potential of gastric GISTs." @default.
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- W2016037385 date "2012-04-01" @default.
- W2016037385 modified "2023-10-03" @default.
- W2016037385 title "Internal hypoechoic feature by EUS as a possible predictive marker for the enlargement potential of gastric GI stromal tumors" @default.
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- W2016037385 doi "https://doi.org/10.1016/j.gie.2011.10.036" @default.
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