CASE REPORT
Gastrointestinal stromal tumours: a surprising clinical course – case report and literature review
1
Medical University, University Clinical Hospital No. 4, Lublin, Poland
2
Student Scientific Society, Chair and Department of Gastroenterology with Endoscopy Unit, Medical University of Lublin, Poland
3
Saint Queen Jadwiga’s Regional Clinical Hospital No. 2, Rzeszów, Poland
4
Cardinal Stefan Wyszynski Provincial Specialist Hospital, Lublin, Poland
5
Department of Gastroenterology with Endoscopy Unit, Medical University,University Clinical Hospital No. 4, Lublin, Poland
Corresponding author
Kinga Aleksandra Knop- Chodyła
Doctor on Internship, Medical University of Lublin, University Clinical Hospital No. 4 in Lublin, Jaczewskiego 8, 20-954, Lublin, Poland
Doctor on Internship, Medical University of Lublin, University Clinical Hospital No. 4 in Lublin, Jaczewskiego 8, 20-954, Lublin, Poland
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Gastrointestinal stromal tumours (GISTs) are considered the most common mesenchymal lesions of the gastrointestinal tract, despite accounting for less than 1% of cancers diagnosed in this area. They frequently occur in the stomach and small intestine, rarely in the colon and esophagus.
Case Report:
The report concerns an unusual case of a patient referred to hospital with abdominal pain and suspected ileocecal intussusception. Ileus was confirmed during diagnostic evaluation. Surgical resection of the tumour mass was performed to release intestinal loops. Based on histology and immunohistochemical staining, GIST was diagnosed. Currently, the patient remains under constant clinical monitoring.
Conclusions:
The evolution of gastrointestinal stromal tumours is highly variable. Both the signs and symptoms and tumor localization in the described case are very unusual for this disease. Adequate diagnosis remains critical to implement appropriate therapeutic management.
Gastrointestinal stromal tumours (GISTs) are considered the most common mesenchymal lesions of the gastrointestinal tract, despite accounting for less than 1% of cancers diagnosed in this area. They frequently occur in the stomach and small intestine, rarely in the colon and esophagus.
Case Report:
The report concerns an unusual case of a patient referred to hospital with abdominal pain and suspected ileocecal intussusception. Ileus was confirmed during diagnostic evaluation. Surgical resection of the tumour mass was performed to release intestinal loops. Based on histology and immunohistochemical staining, GIST was diagnosed. Currently, the patient remains under constant clinical monitoring.
Conclusions:
The evolution of gastrointestinal stromal tumours is highly variable. Both the signs and symptoms and tumor localization in the described case are very unusual for this disease. Adequate diagnosis remains critical to implement appropriate therapeutic management.
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