Spontaneous rupture of a giant gastrointestinal stromal tumor of the jejunum: a case report and literature review
| Autor: | Shun-ichi Misawa, Hiroto Sakamoto, Misuzu Takeda, Hiroyuki Takagi, Hiroyoshi Ota, Yasushi Kirii |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Pathology medicine.medical_specialty Abdominal pain Gastrointestinal Stromal Tumors Antineoplastic Agents Case Report Piperazines Metastasis Jejunum Jejunal Neoplasm medicine Humans Stromal tumor Peritoneal Neoplasms Aged GiST Jejunal Neoplasms Rupture Spontaneous business.industry medicine.disease Prognosis Combined Modality Therapy Small intestine medicine.anatomical_structure Imatinib mesylate Pyrimidines Oncology Benzamides Imatinib Mesylate Surgery medicine.symptom business Tomography X-Ray Computed |
| Zdroj: | World Journal of Surgical Oncology |
| ISSN: | 1477-7819 |
| Popis: | A few cases of a gastrointestinal stromal tumor (GIST) of the small intestine presenting as rupture have been reported in the medical literature. We report an unusual case of a large GIST of the jejunum that presented as a spontaneous rupture. A 70-year-old man was referred to our hospital because of fever and abdominal pain. An abdominal enhanced computed tomography (CT) scan detected a 10-cm tumor with heterogeneous staining, suggesting necrosis or abscess inside the tumor. The patient was treated with antibiotics but inflammation persisted and an operation was performed. Intraoperative findings showed an outgrowing 10-cm mass in the jejunum near Treitz's ligament. The tumor had ruptured with peritoneal metastasis. The solid parenchyma contained a focal area of necrosis within and the small ulcer located in the wall of the jejunum presented a communication with the large tumor cavity. H&E staining showed spindle-shaped cell proliferation, and immunohistochemical staining showed results positive for c-kit and CD34. The patient received a diagnosis of a GIST (high-risk group) of the jejunum and was treated with imatinib mesylate. The patient has remained in good health without recurrence or metastasis one year after the surgical procedure. |
| Databáze: | OpenAIRE |
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