Skip to main content
main-content

01.12.2014 | Case report | Ausgabe 1/2014 Open Access

Journal of Medical Case Reports 1/2014

Small intestinal gastrointestinal stromal tumor in a young adult woman: a case report and review of the literature

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2014
Autoren:
Suzana Manxhuka-Kerliu, Vjollca Sahatciu-Meka, Irma Kerliu, Argjira Juniku-Shkololli, Lloreta Kerliu, Mevlyde Kastrati, Vesa Kotorri
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-8-321) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

All of the authors were involved in the conception of the case report, the data collection and the literature review as well as in writing the manuscript. SMK performed gross and histological examination of resected specimen, including the immunohistochemistry interpretation and was a major contributor in writing the manuscript. IK and LK reviewed the literature. MK contributed to data collection and to histological and immunohistochemistry interpretation. VSM and AJS analyzed and interpreted the clinical data and were involved in drafting the manuscript. VK contributed in the selection of slides for illustration of the case. All authors read and approved the final manuscript.

Abstract

Introduction

Gastrointestinal stromal tumor is the most common sarcoma of the gastrointestinal tract. We report a case of gastrointestinal stromal tumor in a small intestine, initially suspected for leiomyosarcoma given that gastrointestinal stromal tumors in young adult patients are limited due to their rarity.

Case presentation

A 30-year-old Caucasian ethnic Albanian woman from Kosovo presented with abdominal pain, nausea and vomiting. Subsequently, the tumor was detected in her small intestine, as an infiltrating mass approximately 10cm in diameter. The tumor was resected en bloc and duodenojejunal terminal-terminal anastomosis was performed. The tumor was a large, bulky, intramural mass, with fish-flesh to tan-brown appearance, as well as with foci of hemorrhage and necrosis. On histological examination the tumor showed transmural growth, deep infiltrative pattern and malignant feature, with mitotic count >5 per 50 high-power field, dense cellularity with plump spindle cells, and with eosinophilic cytoplasm within variably hyalinized and edematous stroma, skeinoid fibers (extracellular collagen globules) and foci of hemorrhage. In addition, the tumor was composed of areas with epithelioid morphology. The immunohistochemistry results showed high expression of proto-oncogene c-kit, CD117, CD34 and vimentin, whereas α-smooth muscle actin was focally positive. Desmin and S-100 protein were negative.

Conclusions

Gastrointestinal stromal tumor should be included in the differential diagnoses of intestinal mesenchymal tumors presenting as a single mass in young female adults. Given that gastrointestinal stromal tumors in young adults represent a more heterogeneous group than gastrointestinal stromal tumor in pediatric cases, more effort should be made to investigate its pathogenesis and potentially more specific treatment.

Unsere Produktempfehlungen

e.Med Interdisziplinär

Kombi-Abonnement

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de. Zusätzlich können Sie eine Zeitschrift Ihrer Wahl in gedruckter Form beziehen – ohne Aufpreis.

e.Med Allgemeinmedizin

Kombi-Abonnement

Mit e.Med Allgemeinmedizin erhalten Sie Zugang zu allen CME-Fortbildungen und Premium-Inhalten der allgemeinmedizinischen Zeitschriften, inklusive einer gedruckten Allgemeinmedizin-Zeitschrift Ihrer Wahl.​​​​​​​​​​​​​​

Zusatzmaterial
Authors’ original file for figure 1
13256_2014_2944_MOESM1_ESM.jpeg
Authors’ original file for figure 2
13256_2014_2944_MOESM2_ESM.jpeg
Authors’ original file for figure 3
13256_2014_2944_MOESM3_ESM.jpeg
Authors’ original file for figure 4
13256_2014_2944_MOESM4_ESM.jpeg
Authors’ original file for figure 5
13256_2014_2944_MOESM5_ESM.jpeg
Authors’ original file for figure 6
13256_2014_2944_MOESM6_ESM.jpeg
Authors’ original file for figure 7
13256_2014_2944_MOESM7_ESM.jpeg
Authors’ original file for figure 8
13256_2014_2944_MOESM8_ESM.jpeg
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2014

Journal of Medical Case Reports 1/2014 Zur Ausgabe