Sunday, September 23, 2012

CASE: Gastric GIST, excision with wedge of stomach

middle aged male with pain in epigastric region, increase in size of lump in last 10-15 days
on evaluation found to have huge mass arising near greater curvature of stomach with close proximity to pancreas, spleen, stomach

CECT S/o likely GIST of stomach

Endo Sono: s/o GIST arising from the fourth layer of greater curvature of stomach.

surgery: excision of in toto tumor with gastric sleeve. discharged on POD 5.

BX With IHC s/o Gastric GIST, high grade, pt is now on the oral targeted therapy (gleevec)