You are here

Mide Multi-kistik özü: Tıkanma sarılığı gibi sıradışı bir sunum

Multi-cystic gist of stomach: an unusual presentation as obstructive jaundice

Journal Name:

Publication Year:

Abstract (2. Language): 
A 42 yr old male presented with pain in upper abdominal fullness and pain and jaundice.. Upper GI endoscopy suggestive of extraluminal compressing mass at antrum. On laparotomy there was multiple cystic swelling along the lesser curvature largest cyst 6 x 4 cms. There was three sub-mucosal swelling near antrum causing narrowing. The patient was histo-pathologically reported as gastrointestinal stomal tumor(GIST), which is present 0.1% of all colorectal cancer. GIST is mostly identified incidentally during endoscopic screening in the absence of symptom. GIST in comparison with leiomyoma and leiomyosarcoma is on the basis clinic-pathologic, immunohistochemical and molecular genetic study. Mostly malignant GIST run a very slow course and have recurrence and metastasis over 10-15 years. Thus long term follow-up is necessary. Unless proved other-wise gastric and colonic lesions are considered as malignant.
81-85

REFERENCES

References: 

1. Miettinem M, Sarlomo-Rikala M.SobinLH, et al: Esophagial stromal tumors, A clinicpathologic,
immuno-histrochemical and molecular genetic study of 17 cases and
comparison with esophageal leiomyoma and leiomyosarcoma. Am. Jr Surg Pathol, 24;
211-222, 2000.
2. Christopher D. M. Fletcher, Jules J. Berman, Christopher Corless, et al.: Diagnosis of
gastrointestinal stromal tumors- A consensus approach, published by Elsevier Science,
USA. Human pathology, 33 (2); 455-459, 2002.
3. Tworek JA, Goldblum JR, Weiss SW, et al.: Stromal tumor of the abdominal colon:
Clinic-pathologic study of 20 cases. Am. Jr Surg Pathol,23; 937-945, 1999.
4. Tworek JA, Goldblum JR, Weiss SW, et al.: Stromal tumor of the anorectum: Clinicopathologic
study of 22 cases. Am. Jr Surg Pathol, 23; 946-954, 1999.
5. Ortiz-Hidalgo C, De Leon Bojorge B, Albores-Saavedra J: Stromal tumor of the
gallbladder with phyno-type of intestinal cell of Cajal, A previously unrecognized
neoplasm. Am. Jr Surg Pathol, 24; 1420-1423, 2000.
6. Lasota J, Miettienen M, Carson JA: Stomal tumor of the urinary bladder serosa with
phynotype and genotypic feature of GIST. Arch Pathol Lab Med 124; 894-897, 2000.
7. Miettienen M, Monihan JM, Salromo-Rikala M et al.: GISTs primary in the omentum
and mesentery, clinic-pathologic, immuno-hitochemical and molecular genetic study of
26 cases. Am. Jr Surg Pathol, 23; 1109,-1118, 1999.
8. Reith JD, Goldblum JR, Lytes RH, et al.: Extra-gastrointestinal stromal tumors: An
analysis of 48 cases with emphasis on histological outcome. Mod Pathol 13; 577-585,
2000.
9. Miettienen M, Salromo-Rikala M, Sobin et al: GISTs and leiomyosarcomas in the colon,
A clinic-pathologic, immuno-histrochemical and molecular genetic study of 20 cases.
Am. Jr Surg Pathol 24; 1339-1352, 2000.
10. Miettienen M, Lasota J: GISTs- Definition, clinical, histological, immuno-hitochemical
and molecular genetic feature and differential diagnosis. Virchows Arch 438; 1-12, 2000.
11. Emosy TS, Sobin LH, Lukes I, et al.: Prognosis of GISTs, Depends on anatomical site.
Am. Jr Surg Pathol 23; 82-87, 1999.
12. Miettienen M, Lasota J: GISTs -Defination, clinical, histological, immuno-hitochemical
and molecular genetic feature and differential diagnosis. Science 279; 577-580, 1998.
13. Braid JA, Goldblum JR: Stromal tumors of the jejunum and ileum. A clinical study of
t39 cases. Am J Surg Pathol 21; 407-416, 1997.
14. Rimondini A, Belgrano M, Favretto G, et al: Contribution of CT to treatment planning in
patient with GIST. Med. 112(5):691-702, 2007.
15. Blanke CD, von Mehren M, Joensuu H, et al.: Evaluation of the molecularly targeted
therapy STI-571 in patient with unresectable or metastatic GIST expressing KIT. ASCO
Proc 20; 2, 2001.
16. Ng EH, Polock RE, Munsell MF, et al.: Prognostic factors influencing survival in
gastrointestinal liomyosarcomas. Implication for surgical management and staging. Ann
surg. 215; 68-77, 1992.
17. Pollock J, Morgan D, Denobile J, et al.: Adjuvant radiotherapy for GIST of the rectum.
Dig. Dis. Sci. 46; 102-104, 2001.

Thank you for copying data from http://www.arastirmax.com