Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with [asymptomatic finding on EGD / epigastric discomfort / occult GI bleeding / early satiety]. Lipoma identified as a submucosal, yellowish, soft, cushion-sign positive lesion located in the [antrum/body/fundus]. No history of weight loss, dysphagia, or melena.
Clinical Examination Findings
Abdomen: Soft, non-distended, non-tender to palpation. No palpable masses or organomegaly. Bowel sounds present and normoactive. EGD findings: Smooth, sessile, submucosal mass with characteristic yellowish hue; positive "cushion sign" on biopsy forceps compression.
Treatment Protocol
For asymptomatic small lesions (<2cm): Conservative management with periodic surveillance. For symptomatic or large lesions (>2cm): Endoscopic resection (e.g., EMR, ESD) or surgical excision if endoscopic approach is contraindicated or technically unfeasible. Monitor for post-procedural perforation or bleeding.