PMC3015683_01
Gastroscopy shows a stromal tumor at the cardia with normal mucosa.
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F1
The overlying mucosa was normal (Figure 1).
Endoscopic ultrasound (EUS) showing a 4-cm, well-circumscribed submucosal tumor.
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F2
A subsequent endoscopic ultrasound (EUS) confirmed the lesion to be well-circumscribed and submucosal in location (Figure 2). 
Mucosa incised over the tumor.
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F3
The mucosa over the tumor was incised with a diathermy hook (Figure 3), and carefully peeling away the overlying mucosa and underlying muscle separated the tumor.
Tumor grasped by endoscopic snare.
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F4
An endoscopic snare through the gastroscope was used to grasp the tumor (Figure 4) and aid in retraction and final removal through the oral cavity in a plastic bag.
Submucosal defect after excision of tumor.
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F5
The gastric submucosal defect (Figure 5) was closed intraluminally by 3- 0 Vicryl sutures.