کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5732658 | 1612077 | 2017 | 6 صفحه PDF | دانلود رایگان |

- Rectal gastrointestinal tumors (GISTs) are rare mesenchymal tumors.
- Rectal GISTs are extremely rare and account for approximately 2% of all GIST tumors.
- Majority of GISTs have a benign course.
- Treatment with imatinib mesylate should be arranged as soon as possible.
- The most common cause of death after resection of a rectal GIST is distant metastasis.
This is a case report of an aggressive, diffusely disseminated Stage IV rectal gastrointestinal stromal tumor (GIST) in a 57-year-old male that presented for symptoms of malaise, constipation, and twenty pound weight loss in 2 months. Upon rectal examination, a hard 4Â centimeter submucosal mass was found at the 9-12 o'clock position. Liver and lung metastases were visualized on computerized tomography (CT) of the chest, abdomen, and pelvis on metastatic work-up. He was deemed a poor surgical candidate due to diffuse metastatic disease and referred for palliative chemotherapy. The patient had suffered a perforation of his rectal wall two weeks after his initial presentation and passed away shortly thereafter. He never received palliative chemotherapy. We present a case report as a unique case of an extremely aggressive and quickly fatal GIST tumor.
Journal: International Journal of Surgery Case Reports - Volume 37, 2017, Pages 4-9