Incidental gastrointestinal stromal tumor at a gastroscopic polypectomy specimen: A case report and review of literature
Инцидентальная желудочно-кишечная стромальная опухоль в образце после гастроскопической полипэктомии: описание клинического случая и обзор литературы
2015-04-27
SCID: 54.1/9rgmtpsp
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endoscopic mucosal resectiongastrointestinal stromal tumorgastroscopic polypectomyimatinibincidental GIST
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Abstract (AI)
Although gastrointestinal stromal tumors (GISTs) comprise less than 1% of all gastrointestinal (GI) tract tumors, they are the most common mesenchymal tumors of the GI tract. Gastrointestinal stromal tumors can occur anywhere along the GI tract, but the stomach and small intestine are the most frequently involved sites. Gastrointestinal stromal tumors are frequently asymptomatic, and one-third of all cases are found incidentally. Endoscopy, endoscopic ultrasonography, and computed tomography are useful tools in the diagnosis. Endoscopic mucosal resection, endoscopic submucosal dissection, laparoscopic endoscopic cooperative surgery, and surgery with either laparoscopic or open approaches are treatment modalities for GISTs. An R0 resection is the principle surgery. Imatinib is the main medical agent used in the adjuvant or neoadjuvant treatment of GIST. We present a 65-year-old woman with an asymptomatic GIST that arose from a gastric polyp treated via endoscopic polypectomy.
Key Findings
1
Approximately one-third of GIST cases are asymptomatic and are found incidentally.
2
Endoscopy, endoscopic ultrasonography, and computed tomography are useful diagnostic tools for GISTs.
3
GISTs can occur anywhere in the GI tract, with stomach and small intestine being the most frequent sites.
4
Gastrointestinal stromal tumors (GISTs) represent less than 1% of all GI tract tumors but are the most common mesenchymal GI tumors.
5
Imatinib is the primary medical agent used in adjuvant or neoadjuvant treatment of GIST.
6
The paper reports a case of a 65-year-old woman with an asymptomatic gastric GIST discovered in a gastric polyp and treated by endoscopic polypectomy.
7
Treatment options include endoscopic mucosal resection, endoscopic submucosal dissection, laparoscopic endoscopic cooperative surgery, and laparoscopic or open surgery, aiming for R0 resection.
Research Object
An incidental asymptomatic gastrointestinal stromal tumor (GIST) arising from a gastric polyp removed by endoscopic polypectomy
Research Subject
Clinical presentation, diagnostic workup, and treatment management of an incidental gastric polyp–associated GIST including endoscopic removal and implications for surgical and medical (imatinib) therapy
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2015-04-27
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