Cdr Dicom 45 Download

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Cdr Dicom 45 Download

 

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Time course of endoscopic growth of submucosal tumors originating from the muscular layer of the stomach.
Time courses of endoscopic growth of submucosal tumors originating from the muscular layer were studied. From April 1990 to February 2003, endoscopic examinations were performed for gastric lesions, and resection was carried out in 40 patients. Of these, 27 patients with 9-35 mm submucosal tumors originating from the muscular layer underwent time-course observation. Patients were divided into three groups on the basis of the area of the tumor: 1) small group consisting of six tumors (7-24 mm in diameter), 2) medium group consisting of 20 tumors (25-70 mm), and 3) large group consisting of 11 tumors (70-100 mm). The frequency of growth, growth rate, growth direction, growth pattern, and gastric ulceration were assessed as well as histopathological analysis. Growth was observed for 11 (39%) in the small group, 16 (80%) in the medium group, and 11 (100%) in the large group. Growth rate showed a higher tendency in the large group, and the growth direction indicated outward for most tumors. Growth was observed only rarely in the presence of gastric ulceration. Histopathologically, no statistically significant difference was observed in the epithelial types, as well as lymphoid infiltration, entrapped glands, and granulation tissue. At the latest follow-up, no recurrence, metastasis, or gastric ulceration was detected. Gastric submucosal tumors arising from the muscular layer grow more rapidly than those arising from the submucosal space.}

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Cdr Dicom 45 Download

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