Introduction

A 54-year-old female patient with dyspepsia, with no alarm signs or symptoms, no relevant personal or family history and no changes on physical examination underwent gastroscopy that revealed a flat, slightly elevated, irregular and yellowish subepithelial lesion in the fundus (figure 1a). Endoscopic ultrasound revealed an irregular, hyperechoic lesion in the submucosa 4 mm×20 mm in size and with a negative Doppler signal (figure 1b). Following multidisciplinary discussion, the lesion was resected by endoscopic submucosal dissection (figure 1c).