An Epigastric Lump: An Innuendo of a Pedunculated Giant Gastric GIST. An Exotic Presentation.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 2
Abstract
Gist are apparently a rare group of neoplasms with the incidence ranging from 6.5 to 14.5 / million per year. 1 Though they are the most common (80%) of the mesenchymal tumor of the alimentary canal 2.It accounts for 1 % of all the gastrointestinal tumours and about 5% of all sarcomas. 3The incidence of GISThas been historically underestimated prior to the introduction of CD117 staining because of lack of proper diagnostic parameters.After the advent of CD117 staining (c-kit) for GIST, the incidence of reporting of GIST has increased.GISTs are mostly found in stomach (55.6-59%) and secondly in small intestine (primarily jejunum/ileum, 25-31.8%) followed by colorectal (3-6.0%), other sites (3-5.5%), and the esophagus (0.7%). [4]Only a small number of cases (<1%) have been reported in the appendix. On rare occasions, GISTs develop outside the gastrointestinal tract, in the mesentery, omentum, or retroperitoneum.Most patients with GISTs are asymptomatic although patients with advanced disease may present with symptoms of a mass lesion, abdominal pain, or bleeding. At least 10 to 30% of GISTs are discovered incidentally during laparotomy, endoscopy, or other imaging studies, with 15% to 50% of GISTs presenting with metastatic disease.5Here we present a case report of a Giant gastric GIST presenting as an epigastric lump, which is a rare presentation .
Authors and Affiliations
Dr Amitabh Satsangi
Keywords
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