Malignant gastrointestinal stromal tumor of stomach

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for abdominal pain.

Patient Data

Age: 35 years
Gender: Female

Increased wall thickness and a 120×108 mm exophytic lobulated mass are seen in the proximal stomach that show inhomogeneous enhancement. The mass causing pressure effect on the spleen and left lobe of the liver and local invasion is suspected.

 A few masses are seen in the liver less than 13 mm, which show early peripheral nodular enhancement with centripetal filling most consistent with hemangioma.

Case Discussion

The patient underwent total gastrectomy, and histopathology evaluation confirmed gastrointestinal stromal tumor with malignant transformation.

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