Challenging diagnosis of ileal gastrointestinal stromal tumor presenting with obscure digestive bleeding
We report a case of a patient observed in emergency condition for recurrent episodes of massive obscure gastrointestinal bleeding that required surgical control. At laparotomy we found an ileal mass with the characteristics of a gastrointestinal stromal tumor (GIST) at histopathological analysis. GI...
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| Veröffentlicht in: | Tumori 2009-11, Vol.95 (6), p.823-827 |
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| container_title | Tumori |
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| creator | Degrate, Luca Nobili, Cinzia Garancini, Mattia Scotti, Mauro Alessandro Scotti, Marco Romano, Fabrizio Franciosi, Claudio Caprotti, Roberto Uggeri, Franco |
| description | We report a case of a patient observed in emergency condition for recurrent episodes of massive obscure gastrointestinal bleeding that required surgical control. At laparotomy we found an ileal mass with the characteristics of a gastrointestinal stromal tumor (GIST) at histopathological analysis. GISTs should always be considered as a possible cause of obscure gastrointestinal bleeding, although they are often difficult to diagnose preoperatively. Laparotomy is sometimes the only way to obtain a diagnosis. Starting from this case, we reviewed the literature about GISTs, focusing our attention on their diagnosis and the possible surgical and nonsurgical therapies. |
| doi_str_mv | 10.1177/030089160909500630 |
| format | Article |
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At laparotomy we found an ileal mass with the characteristics of a gastrointestinal stromal tumor (GIST) at histopathological analysis. GISTs should always be considered as a possible cause of obscure gastrointestinal bleeding, although they are often difficult to diagnose preoperatively. Laparotomy is sometimes the only way to obtain a diagnosis. 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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Antineoplastic Agents - therapeutic use Benzamides Diagnosis, Differential Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - surgery Gastrointestinal Stromal Tumors - complications Gastrointestinal Stromal Tumors - diagnosis Gastrointestinal Stromal Tumors - secondary Gastrointestinal Stromal Tumors - surgery Humans Ileal Neoplasms - complications Ileal Neoplasms - diagnosis Ileal Neoplasms - pathology Ileal Neoplasms - surgery Imatinib Mesylate Laparotomy Lung Neoplasms - diagnosis Lung Neoplasms - drug therapy Lung Neoplasms - secondary Male Middle Aged Neoplasm Recurrence, Local - drug therapy Piperazines - therapeutic use Pyrimidines - therapeutic use Treatment Outcome |
| title | Challenging diagnosis of ileal gastrointestinal stromal tumor presenting with obscure digestive bleeding |
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