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Gastroenterology & Hepatology

Gastric Leiomyoma

ICD-10 Code
D21.4

Gastric Leiomyoma - Clinical guidelines.

Clinical Presentation & Protocol

Patient Usually Complains Of

Patient presents with [asymptomatic finding on imaging / vague epigastric discomfort / early satiety / intermittent hematemesis]. Symptoms are [chronic/acute] in nature. No history of weight loss, night sweats, or constitutional symptoms. Incidental finding of a submucosal gastric mass noted on [EGD / CT abdomen].

Clinical Examination Findings

Abdominal examination reveals [soft/distended] abdomen, non-tender to palpation. No palpable masses, organomegaly, or signs of peritoneal irritation. Bowel sounds are normoactive. Digital rectal exam negative for melena or occult blood.

Treatment Protocol

Management plan: [Observation with serial EGD / Endoscopic resection / Surgical wedge resection]. Patient counseled on the benign nature of the lesion. If symptomatic or increasing in size, surgical or endoscopic intervention is indicated. Follow-up EGD scheduled in [6/12] months to monitor lesion stability.

Detailed clinical guide coming soon.