Gastrointestinal stromal tumor - gastric

Case contributed by Dr Ammar Haouimi

Presentation

Epigastric pain with a palpable mass.

Patient Data

Age: 80 years
Gender: Female

A well-defined soft tissue mass (6x4.5 cm) with central necrosis and moderate enhancement arising from the lesser curvature of the stomach with endoluminal extension. On enhanced axial images as well as the reconstructed images the gastric mucosa is well-visualized covering the endoluminal portion of a tumor, indicating its submucosal origin.

An oval soft tissue mass (2.8x2 cm) of the left adrenal gland is noted most likely adenoma (incidentaloma). The right adrenal gland shows also a small nodule of fatty density.

Small biliary cysts in the liver.

Case Discussion

Submucosal tumors of the stomach include mainly:

  • GISTs (most common)
  • leiomyomas
  • lymphomas
  • schwannomas

Additional contributor: C Boukaaba, MD.

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Case information

rID: 62339
Published: 13th Aug 2018
Last edited: 14th Aug 2018
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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