Unusual presentation of a large GIST: a challenging diagnostic dilemma

Authors

  • Rubaiya Reza Tumpa Specialist, General Surgery, United Hospital Ltd, Dhaka 1212, Bangladesh
  • Ajmal Quader Chowdhury Consultant, General Surgery, United Hospital Ltd, Dhaka 1212, Bangladesh
  • Md Omar Ali Professor and Head, Senior Consultant, General Surgery, United Hospital Ltd, Dhaka 1212, Bangladesh

DOI:

https://doi.org/10.3329/bccj.v11i1.66052

Keywords:

Tyrosine kinase receptor inhibitor, Oesophago- Gastro- Duodenoscopy, Gastrointestinal stromal tumor, Endoscopic ultrasound, Fine needle aspiration biopsy, Immunohistochemistry, Imatinib, Venous thromboembolism

Abstract

Introduction: Gastrointestinal stromal tumors (GISTs) are rare neoplasms of the gastrointestinal tract associated with
high rates of malignant transformation. Most GISTs present asymptomatically. They are best identified by computed
tomography (CT) scan and most stain positive for CD 117 (C-Kit), CD34, and/ or DOG-1. There have been many risk
stratification classifications systems which are calculated based on tumor size, mitotic rate, location and perforation.

Case presentation: A 42 years old man presented with dysphagia and weight loss for 2.5 months. On examination, he
was severely anaemic having a huge intra-abdominal lump. He underwent laparotomy followed by removal of tumor
mass with partial left lobectomy of the Liver.

Conclusion:We present a case of GIST of unusual location and presentation pattern. In general, only complete
resection of tumor can lead to cure, although recurrence is common after surgery.

Bangladesh Crit Care J March 2023; 11 (1): 54-60

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Published

2023-05-21

How to Cite

Tumpa, R. R. ., Chowdhury, A. Q. ., & Ali, M. O. . (2023). Unusual presentation of a large GIST: a challenging diagnostic dilemma. Bangladesh Critical Care Journal, 11(1), 54–60. https://doi.org/10.3329/bccj.v11i1.66052

Issue

Vol. 11 No. 1 (2023)

Section

Case Reports

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