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01.12.2012 | Case report | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

A rare giant gastrointestinal stromal tumor of the stomach traversing the upper abdomen: a case report and literature review

Zeitschrift:
World Journal of Surgical Oncology > Ausgabe 1/2012
Autoren:
Lei Zhou, Chang Liu, Ji-Gang Bai, Ji-Chao Wei, Kai Qu, Feng Tian, Ming-Hui Tai, Rui-Tao Wang, Fan-Di Meng
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-10-66) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

CL designed the study and LZ drafted the manuscript. CL is the guarantor. All authors contributed to the intellectual context and read and approved the final version.

Abstract

We present the case of a 66-year-old woman with a huge gastrointestinal stromal tumor of the stomach that traversed her upper abdomen. The predominant abdominal sign was a huge, palpable mass, but there were no other distinctive findings in her physical examination or her routine blood workup, including biochemical markers. It was difficult to judge the origin of the mass upon imaging. Furthermore, radiological findings revealed that the mass had a complex relationship with many major blood vessels. An exploratory laparotomy revealed a huge tumor protruding from the anterior wall of the stomach fundus, on the lesser curvature of the stomach, measuring approximately 21 × 34 × 11 cm in diameter and weighing 5.5 kg. A complete resection was performed and the tumor was characterized on immunohistochemistry as a gastrointestinal stromal tumor of the stomach. Preoperative diagnosis of gastrointestinal stromal tumors can be difficult, and we hope that the presentation of this rare case and literature review will benefit other diagnosing clinicians having similar problems.
Zusatzmaterial
Authors’ original file for figure 1
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Authors’ original file for figure 5
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Authors’ original file for figure 9
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Literatur
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