Can gastric leiomyoma be treated with medication?

The stomach is our most common part. Many people have to be careful to prevent their stomachs from getting sick, because gastritis, gastric ulcers, and gastric polyps are very common nowadays. Some people may even develop cancer after developing gastric polyps. In addition to these minor illnesses, many people do not pay attention to their diet for a long time and have an irregular lifestyle. Over time, this will cause gastric leiomyoma, which is an early benign tumor. Generally, patients will have two symptoms. The first is blood in the stool. The stool excreted is generally black or dark red. These two symptoms are precursors to blood in the stool. Another symptom is upper abdominal pain, which will be in the local part of the stomach and intestines. There will often be swelling after meals, and it feels like food is blocked and difficult to digest. Patients with gastric leiomyoma need to pay attention to a reasonable diet and prevent the disease in their lives, while cooperating with medication.

Symptoms and signs

Bleeding is the most common symptom and may cause vomiting of blood or black stools. Other symptoms include upper abdominal pain, bloating and discomfort. Physical examination may reveal an upper abdominal mass that is of moderate hardness, appears smooth, movable, and nontender.

Medication

Because it is difficult to differentiate gastric leiomyoma from leiomyosarcoma, and leiomyoma can become malignant, surgical treatment is appropriate. Generally, wide local excision is chosen, and the resection margin should be at least 2 to 3 cm away from the edge of the tumor. Patients suspected of malignant transformation should undergo subtotal gastrectomy or total gastrectomy.

For larger leiomyoma (diameter ≥ 5cm), it must be treated as a malignant tumor unless its true nature can be confirmed by final pathological examination or other methods.

Diet and health care

Eat a balanced diet.

Preventive Care

Since the cause of gastric cancer is not yet clear, there is no special prevention method. In addition to paying attention to dietary hygiene and avoiding or reducing the intake of possible carcinogens, you can eat more vegetables and fruits rich in vitamin C. The so-called precancerous lesions should be closely followed up to detect changes early and provide timely treatment.

Pathological etiology

There is currently no related content description.

Disease diagnosis

It should be mainly differentiated from gastric leiomyosarcoma, gastric polyps, gastric peptic ulcer, etc.

Inspection method

Laboratory tests:

1. Routine blood examination may show a decrease in red blood cells and hemoglobin, indicating the presence of anemia.

2. Histopathological examination: The tumor has clear boundaries and no capsule; microscopy shows well-differentiated spindle cells interlaced in bundles, with varying amounts of fibrous connective tissue and fibroblasts.

Other auxiliary examinations:

1. X-ray examination X-ray images show: the tumor protruding into the gastric cavity usually forms an isolated filling defect, which is round or oval in shape with clear boundaries; the mucosa around the tumor is normal, the gastric wall is soft, and peristalsis can pass through the tumor area. In patients with complicated ulcers, a deep niche can often be seen in the filling defect area formed by the tumor, with smooth surroundings and no mucosal accumulation, which is different from general peptic ulcers. When a subserosal tumor or a tumor protrudes outside the stomach, the traction and compression of the tumor may cause the stomach wall to become deformed or appear as an external pressure-mark-like defect.