Gastrointestinal stromal tumor (GIST) - gastric

Case contributed by Amr Farouk , 20 Jul 2017
Diagnosis certain
Changed by Yaïr Glick, 23 Jul 2017

Updates to Case Attributes

Presentation was changed:
65 years old patient with abdominalAbdominal mass detected on ultrasound.
Body was changed:

Exophytic gastric mass with CT &and MR picture impressivefeatures highly suggestive of gastric a GIST.

Microscopic picture showed spindleHistopathology: spindle cell tumortumour, formed of interdigitating bundles of atypical spindle cells, having irregular nuclei with low mitioticmitotic figures,picture impressive of GIST. Consistent with gastrointestinal stromal tumour.

  • -<p>Exophytic gastric mass with CT &amp; MR picture impressive of gastric GIST.</p><p>Microscopic picture showed spindle cell tumor, formed of interdigitating bundles of atypical spindle cells, having irregular nuclei with low mitiotic figures,picture impressive of GIST.</p>
  • +<p>Exophytic gastric mass with CT and MR features highly suggestive of a <a title="GIST" href="/articles/gastrointestinal-stromal-tumour-1">GIST</a>.</p><p><strong>Histopathology</strong>: spindle cell tumour, formed of interdigitating bundles of atypical spindle cells, having irregular nuclei with low mitotic figures. Consistent with gastrointestinal stromal tumour.</p>

Updates to Study Attributes

Findings was changed:

Large mid-linemidline heterogeneously enhancing soft tissue mass seen inseparable from the lesser curvature of the stomach and, occupying the lesser sac, and displacing the left hepatic lobe.

Updates to Study Attributes

Findings was changed:

Upper abdominal gastro-hepatic well defined, heterogeneously enhacningWell-defined mass is seenoccupying the lesser sac (gastrohepatic ligament), being inseparable from the right gastric wall lesser curvature of the stomach, showing no extension of the mass into the gastric lumen or mucosa.Right laterally After contrast administration, the mass is seen abuttingenhances heterogeneously.  It abuts the free border of the left hepatic lobe free border & compressing left lobe and compresses segment II superiorly with no evidence of direct hepatic infiltration.Posteriorly the The left gastric artery (mass feeder) is seen stretched along the posterior surface of the mass with no signs of occlusion.

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