Gastrointestinal stromal tumor of the remnant stomach
Chirurgische Gastroenterologie Interdisziplinar, cilt.22, sa.3, ss.198-200, 2006 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 22 Sayı: 3
- Basım Tarihi: 2006
- Doi Numarası: 10.1159/000094240
- Dergi Adı: Chirurgische Gastroenterologie Interdisziplinar
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.198-200
- Anahtar Kelimeler: stromal tumor, gastric remnant
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Gastrointestinal stromal tumors (GISTs) are a rare type of nonepithelial mesenchymal neoplasms of the gastrointestinal tract belonging to a heterogeneous group of diseases that differ in frequency, clinical symptoms and pathologic behavior. Case Report: A 62-year-old man was admitted to our hospital with hematemesis and melena. The patient had undergone a distal gastrectomy for peptic ulcer 28 years ago. Gastroscopy revealed a huge polypoid tumor occupying the remnant stomach. Contrast-enhanced CT of the abdomen revealed a huge (6.5 x 4 cm in size), irregularly enhanced tumor extending from the cardia to the corpus and projecting in to the lumen of the stomach. GIST was proven by endoscopic biopsy. The patient underwent total resection of the remnant stomach. Histopathology revealed a highly malignant GIST of the stomach. The patient's postoperative period was uneventful, and there was no recurrence or distant metastasis during a 12-month follow-up. Conclusion: GISTs may arise virtually in any part of the gastrointestinal tract. Even patients who had undergone distal gastrectomy are at risk for the development of GISTs. © 2006 S. Karger GmbH.