Presentation
Melaena (upper gastrointestinal bleeding) and months of fatigue
Patient Data
A well-defined tumour growth arising from the anterior gastric wall. It is attached to the small curvature and does not invade the surrounding tissues. It is with heterogenous structure and moderate mainly peripheral contrast enhancement.
Multiple pulmonary nodules with most probable haematogenous metastatic origin.
The findings is mainly suggestive of gastric mesenchymal tumour.
A surgical specimen resected from the anterior gastric wall which seems to arise from the muscularis propria.
Case Discussion
Gastroscopy report: slide prominence at the anterior gastric wall with superficial ulcerations.
CT and surgical resection were later performed.
Postoperative pathology report:
Macroscopic: tumour with superficial ulcerations; microscopic morphologic type- epithelioid cells, low mitotic count- >5/50 HPF
Immunohistochemistry: tumour cells show positive (+) c-kit and negative (-) S100, CD34, SMA reaction.
The report concluded: gastric stromal tumour.
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