Atypical location of a stromal cell carcinoma in the rectal wall – a case report
Journal Title: New Medicine - Year 2013, Vol 17, Issue 3
Abstract
Gastrointestinal stromal tumours (GIST) are rare proliferative lesions arising from the mesenchyme. In the United States, there are approximately 5000 cases diagnosed per year. The incidence of GISTs in males and females is equal. Only in about 5% of the cases, these lesions occur in the large intestine – whether in the submucosal, intramural or subserosal location. Approximately 10-30% of the GISTs have an asymptomatic course, and are incidentally diagnosed during imaging or surgical procedures performed for other indications. This article presents the case of a 74-year old female, who was found to have a stromal tumor in the wall of the rectum. The initial diagnosis was based on a proctological examination, anorectal endosonography and computed tomography. The final diagnosis was established based on histological analysis of material obtained via core-needle biopsy. The patient was referred to the Institute of Oncology, where she was qualified for neoadjuvant therapy, and later underwent surgery. A two-year observation period did not reveal any local recurrence or distant metastases.
Authors and Affiliations
Wiesława Duda-Król, Małgorzata Kołodziejczak, Iwona Sudoł-Szopińska, Marlena Woch, Michał Adamczyk, Artur Mamcarz
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