Primary Gastrointestinal Stromal Tumor of Mesentery
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 9
Abstract
Gastrointestinal Stromal tumors (GISTs) are mesenchymal tumors accounting for < 1% of the primary gastrointestinal tumors. Primary GIST of mesentery is extremely rare. We report a case of primary GIST arising from the mesentery of small intestine, in a 40-year-male who presented with a large abdominal mass. Contrast-enhanced computed tomography of patient’s abdomen showed presence of a well-defined heterogeneous mesenteric mass. On laparotomy, the mass was seen arising from the mesentery. Complete surgical resection of the mass was then done. Histopathological and immune histochemical features of the mesenteric mass were consistent with GIST. This case emphasizes that, GIST can occur as primary tumor at unusual sites such as mesentery and pose diagnostic challenge. Therefore, it should always be considered in differential diagnosis of mesenteric tumors as pre-operative diagnosis based on clinical and radiological findings is difficult. The diagnosis should be concluded by appropriate histopathological and immunohistochemical work-up to distinguish it from other closely simulating tumors of mesentery.
Authors and Affiliations
Dr. Jai Kumar Chaurasia
Keywords
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