Woman 54 yo general check-up by abdominal ultrasound detected one mass at
left upper abdominal area (US 1: longitudinal scanning of spleen and tumor).
US2:
tumor and left kidney, longitudinal scanning.
US 3: cross-sectional scanning,
tumor inner of left kidney.
Gastroscopy is normal.
MSCT scan with CE: CT 1 tumor nearby great
curvature of stomach, CT
2:tumor near pancreas and stomach.
Report of radiologist is retroperitoneum tumor.
MRI made clear relation
of tumor and left adrenal gland..( MRI 1), MRI 2 tumor is
near gastric border.
Laparoscopic detected
this tumor came from the wall of great curvature of stomach (laparostomy image).
Macroscopic tumor is solid structure.
Microscopic report is GIST tumor with potential median
malignancy.
Conclusion: difficulty in pre- op diagnosis
one exophytic pedunculated gastric GIST tumor
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