Incidental diagnosis of extra-gastric gastrointestinal stromal tumor: case report

Yıl 2013, , 128 - 131, 04.03.2014

İsmail Şalk , Mehmet Atalar , Ali Çetin

https://doi.org/10.12808/bcs.v2i3.36

Öz

Abstract

The gastrointestinal stromal tumors (GIST) of the gastrointestinal tract may be asymptomatic and discovered incidentally during an endoscopic or barium study or during a computed tomography scan done for another purpose. More often, patients present with nonspecific symptoms such as early satiety, bloating. Surgical resection is the treatment of choice for potentially resectable tumors. In this case report, we present a case with extra-gastric GIST which incidental diagnosed by during contrast-enhanced multi-detector computed tomography and magnetic resonance imaging examination of abdomen.

Keywords: Extra-gastric gastrointestinal stromal tumor, computed tomography, magnetic resonance imaging

Özet

Gastrointestinal traktın gastrointestinal stromal tümörleri (GIST) asemptomatik olabilir ve endoskopik veya baryum çalışmalarında veya başka nedenle yapılan bilgisayarlı tomografi çalışmalarında tesadüfen saptanabilir. Sıklıkla hastalar erken doyma ve şişkinlik gibi nonspesifik belirtiler hissederler. Cerrahi rezeksiyon uygun tümörlerde tercih edilir. Bu olgu sunumunda karın bölgesinin kontrastlı multidetektör bilgisayarlı tomografi ve manyetik rezonans görüntüleme işlemleri sırasında tesadüfen saptanan bir ekstra-gastrik GIST olgusu ele alınmaktadır.

Anahtar sözcükler: Ekstra-gastrik gastrointestinal stromal tümör, bilgisayarlı tomografi, manyetik rezonans görüntüleme

Anahtar Kelimeler

Extra-gastric gastrointestinal stromal tumor, computed tomography, magnetic resonance imaging

Kaynakça

• Basir N, Yaakub AB, Kafeel G, Telisinghe PU, Tan KK, Sharif F, Chong VH. Gastroduodenal intussusception as a first manifestation of gastric gastrointestinal stromal tumor. Turk J Gastroenterol. 2012 Apr;23(2):185-6.
• Beltran MA, Pujado B, Méndez PE, Gonzáles FJ, Margulis DI, Contreras MA, Cruces KS. Gastric gastrointestinal stromal tumor (GIST) incidentally found and resected during laparoscopic sleeve gastrectomy. Obes Surg. 2010 Mar;20(3):393-6. Kimura H, Yoshida T, Kinoshita S, Takahashi I. Pedunculated giant gastrointestinal stromal tumor of the stomach showing extragastric growth: report of a case. Surg Today. 2004;34(2):159-62.
• Asija AP, Mejia AV, Prestipino A, Pillai MV. Gastrointestinal Stromal Tumors: A Review. Am J Ther. 2013 Aug 12. [Epub ahead of print].
• Demetri GD, Morgan J, Raut CP. Epidemiology, classification, clinical presentation, prognostic features, and diagnostic work-up of gastrointestinal mesenchymal neoplasms including GIST. In: UpToDate, Basow, DS (Ed), UpToDate,
• Waltham, MA, 20 Kimura H, Yonemura Y, Kadoya N, Kosaka T, Miwa K, Miyazaki I, Sawa T, Yoshimitsu S, Nishida Y, Kamata T, et al. Prognostic factors in primary gastrointestinal leiomyosarcoma: a retrospective study. World J Surg. 1991 Nov-Dec;15(6):771-6; discussion 776-7.
• Skandalakis JE, Gray SW, Shepard D. Smooth muscle tumors of the stomach. Int Abstr Surg. 1960 Mar;110:209-26.