Gastrointestinal Stromal Tumor of the Stomach Presenting as Multilobular with Diffuse Calcifications

김새희; 이문수; 조병선; 박주승; 한현영; 강동욱

doi:http://dx.doi.org/10.5230/jgc.2016.16.1.58

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자료유형: 학술저널

저자정보: 김새희 (을지대학교병원) 이문수 (을지대학교병원 외과) 조병선 (을지대학교병원) 박주승 (을지대학교병원) 한현영 (을지대학교병원) 강동욱 (을지대학교병원)

저널정보: 대한위암학회 Journal of Gastric Cancer Journal of Gastric Cancer 제16권 제1호

발행연도: 2016.3

수록면: 58 - 62 (5page)

DOI: http://dx.doi.org/10.5230/jgc.2016.16.1.58

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Gastrointestinal stromal tumors (GISTs) are the most common primary mesenchymal neoplasms of the gastrointestinal tract and usually appear as a well-circumscribed mass. However, it may be difficult to confirm the extent of the disease for some GISTs. A 70-year-old asymptomatic female presented for a regular physical exam. An esophagogastroduodenoscopy showed a 2.0 cm protruding mass on the gastric fundus. Endoscopic ultrasound revealed an ill-defined heterogenous hypoechoic lesion (3.0×1.5 cm). A computed tomography (CT) scan demonstrated a 4.5 cm multifocal calcified mass at the gastric body as well as at the gastric fundus. Laparoscopic gastric wedge resection was performed according to the extent of multifocal calcifications that are shown on the CT. Intraoperative specimen mammography and intraoperative biopsy might be helpful to obtain a tumor-free margin. Final pathologic diagnosis was an intermediate risk GIST in multilobular form. In patients with diffuse multifocal calcifications in the stomach, the possibility of GIST should be considered.

#Gastrointestinal stromal tumors #Stomach #Calcinosis

참고문헌 (11)

참고문헌 신청

Nishida T / 2000 / Biological and clinical review of stromal tumors in the gastrointestinal tract / Histol Histopathol 15:1293~1301

조미연 / 2010 / Current Trends in the Epidemiological and Pathological Characteristics of Gastrointestinal Stromal Tumors in Korea, 2003-2004 / Journal of Korean Medical Science 25(6):853~862

Agaimy A / 2006 / Gastrointestinal stromal tumours: a regular origin in the muscularis propria, but an extremely diverse gross presentation. A review of 200 cases to critically reevaluate the concept of so-called extra-gastrointestinal stromal tumours / Langenbecks Arch Surg 391:322~329

Levy AD / 2003 / Gastrointestinal stromal tumors : radiologic features with pathologic correlation / Radiographics 23:283~304

Fletcher CD / 2002 / Diagnosis of gastrointestinal stromal tumors : a consensus approach / Hum Pathol 33:459~465

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