Gastric stromal tumor as a cause of digestive bleeding

Authors

  • Laura Arroyo Martínez Caja Costarricense de Seguro Social, Hospital San Rafael de Alajuela

DOI:

https://doi.org/10.51481/amc.v48i3.260

Keywords:

leiomyomas, leiomyosarcomas, muscularis mucosae, gi fleending, gastrointestinalstromal tumor, endoscopic ultrasomal

Abstract

Gastrointestinal Stromal tumors (GIST) are rare neoplasias of the gastrointestinal tract that arise from primitive mesenchymal cells. They are located throughout the gas-trointestinal tract but are usually located in the stomach andsmall intestine. The majority are immuno histochemically positive for CD 117 and CD 34. Their clinical course is noteasily predicted by standard means. Gastrointestinal bleeding and anemia are the most common clinical presentations.Surgical resection remains the mainstay of treatment, aschemotherapy and radiation are ineffective. Long-term fol-low-up is imperative, since recurrence rates are high.

We present here the case of a 39 y-o female who camein with haemathemesis and black stools. After several upperendoscopies and an endoscopic ultrasonography, she under-went surgical removal of a gastrointestinal stromal tumorfrom her stomach. She did well after surgery and remainsasymptomatic.

Downloads

Download data is not yet available.

References

Abramson, Daniel J., M.D., Gastric Leiomyoblastoma: report o threecases, one malignant. Ann Surg. 1973;178: 625-630.

J. Kim, Christina M.D., Day, Scott M.D., Yeh, Karen M.D.,Gastrointestinal stromal tumors: analysis of clinical and pathologicfactors. Am Surg. 2001; 67:135-137.

Gregory B. Davis, M.D., Blanchard, Kay, M.D., Hatch, George,M.D., Wertheimer-Hatch, Laura, M.D., Hatch, Kathryn, B.S., Foster,Roger Jr., M.D., Skandalakis, John E., M.D. Tumors of the stomach.World J Surg. 2000; 24: 412-420.

Ruiz, Atenodoro, M.D., Nassar, Aziza J.,M.D., Fromm, Hans, M.D.,Multiple malignant gastric stromal tumors presenting with GI bleed-ing a case report and a review or the literature. Gastrointest endosc.2000; 51: 225-228.

Pidhorecky, Ihor, M.D., Cheney, Richard T., M.D., Kraybill, WilliamG., M.D., Gibbs, John F., M.D. Gastrointestinal stromal tumors: cur-rent diagnosis, biologic behavior and management. Ann Surg Oncol.2000; 7: 705-712.

Xu, Guo-Qiang, Zhang, Bing-Ling, Li, You-Ming, Chen, Li-Hua, Ji,Feng, Chen, Wei-Xing, Cai, Shu-Ping. Diagnostic value of endoscop-ic ultrasonography for Gastrointestinal leiomioma. World JGastroenterol. 2003; 9:2088-2091.

Pollack, Ng E-H, Munsell, MF., Atkinson, EN., Romsdahl MM.Prognostic factors influencing survival in gastrointestinal sarcomas:implications for surgical management and staging. Ann Surg. 1992;215: 68-77

Skandalakis, John E., Gray, S.W. Smooth Muscle Tumors of theGastrointestinal Tract Introduction. World J Surg. 2000; 24: 389-394

Downloads

Published

2006-07-01

How to Cite

Gastric stromal tumor as a cause of digestive bleeding. (2006). Acta Médica Costarricense , 48(3), 131-134. https://doi.org/10.51481/amc.v48i3.260