An Iranian 50-year-old man attended Taleghani Gastrointestinal Clinic for recurring epigastric pain. This patients complaints included epigastric pain, heartburn and dysphagia. He suffered from these signs and symptoms from four months before the tumor detection. No weight loss was detected. Past surgical history and family history of the patient were negative too. He did not smoke or drink alcohol. He was treated several times with omeprazole, anti-acids, and baclofen. Finally, he was referred to Taleghani Hospital Clinic by food sensation. In our setting, he was evaluated by endoscopy and a submucosal mass in cardia was detected.
On physical examination, his temperature was 37.1 C, heart rate was 82 beats per minute, respiratory rate was 10 breaths per minute, and blood pressure was 130/80 mm-Hg. Abdominal examination showed neither distention nor tenderness. No organomegaly or palpable mass was found. Furthermore, laboratory tests had no remarkable findings. The evaluations included endoscopy of upper and lower gastrointestinal tract at the same time. The result of colonoscopy was normal. Endoscopy of the upper GI tract showed a 19x13 mm homogenous and hypoechoic submucosal lesion, with smooth and defined border in cardia at the third layer. In addition, EUS reported a small calcification in the center of lesion.
 Case presentation 2