Naslov
Gastrointestinal stromal tumor mimicking gynecological pathology: a case report

Autori
Puljiz, Mario ; Danolić, Damir ; Alvir, Ilija ; Tomica, Darko ; Mamić, Ivica ; Knežević, Fabijan ; Penavić, Ivan

Izvornik
Libri oncologici : Croatian journal of oncology (0300-8142) 37 (2009), 1-3; 21-24

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz, stručni

Ključne riječi
gastrointestinal stromal tumor; asyptomatic; immunohistochemia; transvaginal ultrasound

Sažetak
Diagnosis of gastrointestinal stromal tumors (GISTs) of the terminal part of the small intestine on ultrasound examination can be difficult because of their similarity in appearance to gynecological tumors. We present a case of 49-year old asymptomatic female patient with GIST of the small intestine, which presented as a pelvic mass, mimicking an ovarian tumor. Tumor was diagnosed during the control check up and ultrasound gynecological examination. Computed tomography showed tumor mass in pelvis on the right and free fluid in the lesser pelvis. During the surgery, exploration of the abdominal cavity displayed tumor of the terminal part of the small intestine (ileum). The uterus and both adnexes were normal. The patient was treated by resection of the terminal part of the small intestine and termino-terminal anastomosis. Immunohistochemical evaluation demonstrated positive vimetin, positive CD117, and negative CD 34. In presence of a pelvic mass, especially if other unusual anamnestic data are present, the possibility of other than a gynecologic tumor has to be considered.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA