Presentation
Epigastric pain with a palpable mass.
Patient Data
Age: 80 years
Gender: Female
From the case:
Gastrointestinal stromal tumor (GIST) - gastric
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/70556/annotated_viewer_json?_c=1669387149\u0026lang=us"}
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.
Unable to process the form. Check for errors and try again.