Tumor estromal gastrointestinal de intestino delgado

Silva, Francisco Marivaldo Benício da; Lemos, Jefferson Soares; Moraes, Marcos Gonçalves Nunes de

doi:10.1590/s0100-69912001000100013

Cited by 1 publication

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“…Therapeutic management with a surgical approach and complete resection of the lesion is the most indicated in cases of non-metastatic GIST, in which a high cure rate is obtained. However, there is a relevant possibility for the patient to develop some adverse effect, such as recurrence, metastasis or death [13].…”

Section: Discussionmentioning

confidence: 99%

Gastric Gist as Cause of High Digestive Hemorrhage

Paladino¹,

Miguel²,

Miguel³

et al. 2019

JBM

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Introduction: Gastrointestinal stromal tumor (GIST) occurrence is uncommon and usually manifested by nonspecific signs and symptoms, which hinders its reasoning as a diagnostic hypothesis. The objective is to report a case of female GIST with curative treatment through video-laparoscopy with partial gastrectomy. Case report: A 61-year-old female patient attended the Luiz Gioseffi Jannuzzi School Hospital (HELGJ) emergency room, with a sudden onset of upper gastrointestinal bleeding with hemodynamic instability. After stabilization, she was admitted for diagnostic investigation, showing sub-epithelial lesion of antrum in upper digestive endoscopy (UDE) and solid-cystic mass in the gastric antrum to computed tomography (CT). The conduct was the video laparoscopy surgical approach with partial gastrectomy. The histopathological and immunohistochemical aspects of the surgical specimen showed a gastrointestinal stromal tumor (GIST) in a gastric antrum of low grade of malignancy, positive e-Kit and mycotic index (50 cga) < 5. Discussion: Compared to the scarce reports in literature, the case described presented typical epidemiology, but the clinical picture was not the most incident. Conclusions: Given the rarity of this pathology cases, it is essential to report these in order to elucidate the specificities and also to discuss diagnostic and therapeutic methods.

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Section: Discussionmentioning

confidence: 99%