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2016, Number 4

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Revista Habanera de Ciencias Médicas 2016; 15 (4)

Extrinsic tumor of the small intestine stromal. Case presentation

Fernández TE, Anido EV, Pereira FJG

Language: Spanish
References: 28
Page: 563-572
PDF size: 227.17 Kb.


ABSTRACT

Introduction: Gastrointestinal stromal tumors are rare tumors secondary to a malign proliferation of mesenchymal cells, and the complete surgical resection of these tumors depends in great measure of its quick diagnosis.
Objective: To present a clinical case of an extrinsic tumor of the small intestine stromal diagnosed in its initial state making emphasis in imaging diagnostic.
Case presentation: A 56 years old male patient that didn't have up a conclusive diagnostic until 2014 after applying different diagnostic tests because he presented chronic anemia and melena. In January 2015 was carried out an abdominal echography, a simple oral and intravenous contrasted multilayer computerized axial tomography, an also a virtual colonoscopy, describing a hypodense image of tumoral appearance, with variable density, nor infiltration of vascular structures neither intraabdominal secondary lesions, concordant with GIST. It was decided to carry out surgery for the complete tumor resection. The anatomic and pathological studies confirmed a GIST type fusocellular tumor, of intermediate degree and aggressive bearing.
Conclusions: The success in GIST early diagnosis depends of several specialties domain, where the imaging studies play an important role in the behavior to be followed, either for an appropriate surgical treatment or with adjuvant, because they are complex tumors in its presentation.


REFERENCES

  1. Landi B, Blay JY, Bonvalot S, Bouché O, Coindre JM, Émile JF, et al. Tumeurs stromales gastro-intestinales(GIST). Thésaurus National de Cancérologie Digestive (TNCD). 2015. [Citado Dic 2015]. Disponible en: http://www.snfge.org/content/12- tumeurs-stromales-gastro-intestinales-gist

  2. Ud N, Ahmad Z, Arshad H, Idrees R, Kayani N. Gastrointestinal Stromal Tumors: A Clinicopathologic and Risk Stratification Study of 255 Cases from Pakistan and Review of Literature. Asian Pac J Cancer Prev. 2015;16 (12):4873-80.

  3. Ramos AE, Vallés ME, Rodríguez JR, Neyra CM, Vargas FA. Tumor del estroma gastrointestinal. Rev Gastroenterol Perú. 2014; 34(3):237-41.

  4. Alanis-Lara J, Castro-Villamour AR, Bravo-Ontiveros F, Arroyo-Hernández G, Klug- Falicoff M. Tumores del estroma gastrointestinal; a propósito de un caso en el yeyuno. Anales de Radiología México. 2015; 14:108-16.

  5. Furukawa M, Izumi S, Asano H, Hiroaki MD, Sadanobu MD, Masaki MD, et al. Late umbilical port-site recurrence of a gastrointestinal stromal tumor with an acquired PDGFRα mutation after laparoscopic resection: report of a case. Surg Laparosc Endosc Percutan Tech. 2012; 22: e109-e111.

  6. Hachim H, Majbar AM, Alaoui M, Raiss M, Sabbah F, Hrora A, et al. Abdominal wall recurrence of a gastrointestinal stromal tumor: case report Springer Plus. 2015; 4:429-32.

  7. Tarafa Y, Arrúe A, Acosta J, Rodríguez R, Cabreja MO, Rosales SO. Tumor gástrico estromal. Rev Cub Med Mil [revista en la Internet]. 2011 Mar; 40(1): 63-69. [Citado 2015 Dic 15]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138- 65572011000100009&lng=es

  8. Barnett CM, Corless CL, Heinrich MC. Gastrointestinal stromal tumors: molecular markers and genetic subtypes. Hematol Oncol Clin North Am. 2013; 27:871-88.

  9. Rammohan A, Sathyanesan J, Rajendran K, Pitchaimuthu A, Perumal SK, Srinivasan U, et al. A gist of gastrointestinal stromal tumors: A review. World J Gastrointest Oncol. 2013; 5:102-12.

  10. Asija AP, Mejia AV, Prestipino A, Pillai MV. Gastrointestinal Stromal Tumors: A Review. Am J Ther. 2013; 20(4): Aug 12. [Citado 2015 Dic 15]. Disponible en: http://journals.lww.com/americantherapeutics/Abstract/publishahead/Gastrointestinal _Stromal_Tumors_A_Review_.99343.aspx

  11. Zhao X, YueC. Gastrointestinal stromal tumor. J Gastrointest Oncol. 2012; 3(3):189-208

  12. Joensuu H1, DeMatteo RP. The management of gastrointestinal stromal tumors: a model for targeted and multidisciplinary therapy of malignancy. Annu Rev Med. 2012;63:247-58.

  13. Colombo C, Ronellenfitsch U, Yuxin Z, Rutkowski P, Miceli R, Bylina E, et al. Clinical, pathological and surgical characteristics of duodenal gastrointestinal stromal tumor and their influence on survival: A multi-center study. Ann SurgOncol. 2012; 19:3361-7.

  14. Beham A, Schaefer IM, Cameron S, von Hammerstein K, Füzesi L, Ramadori G, et al. Duodenal GIST: A single center experience. Int J Colorectal Dis. 2013; 28:581-90.

  15. Salari M, Ahadi M, Hoseini SM, Mokhtari E, Gafarzadehgan K, Hashemian HR, et al. Gastrointestinal Stromal Tumors in Northeastern Iran: 46 Cases During 2003- 2012.Middle East J Dig Dis.2015; 7:161-5.

  16. Basnet S, Lakhey A. Extra-Intestinal Gastrointestinal Stromal Tumor of Omentum. J. Pathol Nepal. 2014; 4(8):682-4.

  17. Bár T, Sankot J, Adamová Z, Mičulka P. Extraintestinal GIST-case report. 2015, 94(9):383-86.

  18. García-Seguí A, Gascón M. Tumor del estroma gastrointestinal en la vejiga urinaria. Actas Urol Esp [revista en la Internet]. 2011 Feb; 35(2): 124-125. [Citado 2015 Dic 15]. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0210- 48062011000200014&lng=es

  19. Ramos AE, Vallés ME, Rodríguez JR, Neyra C, Vargas FA. Tumor del estroma gastrointestinal. Rev. gastroenterol. Perú [revista en la Internet] 2014 jul; 34(3). [Citado 2015 Dic 15]. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1022- 51292014000300009&lng=es&nrm=iso

  20. Aktan M, Koc M, Yavuz BB, Kanyilmaz G. Two cases of gastrointestinal stromal tumor of the small intestine with liver and bone metastasis. Ann Transl Med. 2015;3(17):259-62.

  21. Jindal G, Rastogi R, Kachhawa S, Meena GL. CT findings of primary extraintestinal gastrointestinal stromal tumor of greater omentum with extensive peritoneal and bilateral ovarian metastases. Indian J Cancer. 2011;48:135-7.

  22. Çöl K, Yilmaz F. A Case Report of an Extraintestinal GIST Presenting as a Giant Abdominopelvic Tumor. Gastrointest Cancer Res. 2013; 6(4): 120-22.

  23. Estrada Y, Camacho J, Lebroc D, Pulido A, Carvajal JA. Tumores estromales. A propósito de un caso. Mediciego. Perú [revista en la Internet] 2012; 18 (Suplem. 1). [Citado 2015 Dic 15]. Disponible en: http://bvs.sld.cu/revistas/mciego/vol18_supl1_2012/casos/t-21.html

  24. Choi YR, Kim SH, Kim SA, Shin CI, Kim HJ, Kim SH, et al. Differentiation of large (≥ 5 cm) gastrointestinal stromal tumors from benign subepithelial tumors in the stomach: radiologists' performance using CT. Eur J Radiol. 2014 ;83(2):250-60.

  25. Milliron B, Mittal PK, Camacho JC, Datir A, Moreno CC. Gastrointestinal Stromal Tumors: Imaging Features Before and After Treatment. Curr Probl Diagn Radiol. 2015 Aug 7. [Citado 2015 Dic 15]. Disponible en: http://www.sciencedirect.com/science/article/pii/S0363018815001218

  26. Johnston FM, Kneuertz PJ, Cameron JL, Sanford D, Fisher S, Turley R, et al. Presentation and management of gastrointestinal stromal tumors of the duodenum: A multi-institutional analysis. Ann Surg Oncol. 2012;19:3351-60.

  27. Tezcan Y, Koç M. Gastrointestinal stromal tumor of the rectum with bone and liver metastasis: a case study. Med Oncol. 2011;28 Suppl 1:S204-6.

  28. Dietrich CF, Jenssen C, Hocke M, Cui XW, Woenckhaus, Ignee A. Imaging of Gastrointestinal Stromal Tumours with Modern Ultrasound Techniques − A Pictorial Essay. Z Gastroenterol. 2012; 50: 457-67.




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