Department of Gastroenterology, Affiliated Hospital, Zunyi Medical College, Zunyi, 563003, People's Republic of China.
BMC Gastroenterol. 2020 Jan 30;20(1):23. doi: 10.1186/s12876-020-1175-x.
Gastric tuberculosis mimicking submucosal tumors is extremely rare and often misdiagnosed.
Three cases of gastric tuberculosis mimicking submucosal tumors were identified among patients admitted to local county hospitals because of upper abdominal discomfort and pain, with gastroscopy showing gastric submucosal tumors. The patients were admitted to our hospital for endoscopic ultrasonography (EUS). As EUS revealed evidence of tuberculosis for the first two patients, we first considered gastric tuberculosis. However, because of atypical characteristics of the miniature ultrasonic probe and EUS, the lesion in the third patient was misdiagnosed as a stromal tumor, and the patient underwent endoscopic submucosal dissection (ESD), and intraoperative characteristics and postoperative pathology confirmed the lesion to be tuberculosis.
EUS is of great value in the diagnosis of gastric tuberculosis, especially gastric tuberculosis mimicking submucosal tumors. Here, we summarize some significant characteristics of gastric tuberculosis by EUS, which will be of substantial value to clinical work.
胃结核模仿黏膜下肿瘤极为罕见，常被误诊。
因上腹部不适和疼痛，3 例胃结核患者被当地县级医院收治，胃镜检查显示胃黏膜下肿瘤。这些患者因内镜超声检查（EUS）被收入我院。由于前两名患者的 EUS 显示有结核病证据，我们首先考虑胃结核。然而，由于微型超声探头和 EUS 的非典型特征，第三名患者的病变被误诊为间质瘤，患者接受了内镜黏膜下剥离术（ESD），术中特征和术后病理证实病变为结核。
EUS 对胃结核的诊断具有重要价值，特别是胃结核模仿黏膜下肿瘤。在这里，我们通过 EUS 总结了胃结核的一些重要特征，这将对临床工作具有重要价值。
