A jejunal stromal tumor which causes symptoms of acute abdominal pain

Gastrointestinal stromal tumors are mesenchymal tumors of the gastrointestinal tract that are believed to originate from neoplastic transformation of the intestinal pacemaker cells (interstitial cells of Cajal) normally found in the bowel! wall, or their precursors. The majority gastrointestinal stromal tumors occurs in the stomach, stromal tumors involving the small intestine are far less common but seem to have greater malignant potential. The most common symptoms are vague abdominal pain, gastrointestinal bleeding, and abdominal mass. The mainstay of treatment continues to be complet surgical resection. GIST surgical patients subsequently have an increased risk of postoperati ve recurrence or metastasis. The refore, we recommend systematic follow-up after surgical resection of a malignant GIST including physical examination and CT scan at 6-month intervals for up to 2 years after surgery with following annual CT scan and physical examinati¬on. Our case was 83 years old and applied to our hospital with symptoms of acute abdominal pain. CT scan demonstrated a mass lesion at left lower quadrant. Laparotomy revealed a 5 cm mass which was diagnosed as a high-grade gastrointestinal stromal tumor by pathological examination. Finally, resection was done and no recurrence or metastasis was detected in following postoperative 2 years.

Akut karýn bulgularý veren jejunal stromal tümör

Gastrointestinal stromal tümörler (GÝST) normalde harsak duvarýnda bulunan intestinal pacemaker hücreleri olan Cajal‘ýn interstisyel hücreleri veya onlarýn prekürssörlerinin malign transformasyonundan kaynaklandýðýna inanýlan mezenkimal tümörlerdir. GÝST en çok mideden geliþirken, ince karsaklardan geliþenler nadir olup daha malign potansiyele sahiptir. En sýk semptomlar belirsiz karýn aðrýsý, gastrointestinal kanama ve batýnda kitledir. Esas tedavisi tam cerrahi rezeksiyondur. Cerrahi tedavi sonrasý rekürrens veya rýüks olasýlýðý yüksektir. Bu nedenle hastalarýn cerrahiden sonra özelikle ilk 2 yýl 6 ayda bir, daha sonra yýlda bir muayene ve BT ile takibi uygundur. Bizim olgumuz 83 yaþýnda olup, akut karýn bulgularý ile baþvurdu. BT‘de batýn sol alt kadranda kitle saptandý. Laparatomide jejenumda 5 cýrý çaplý patolojide yüksek gradeli gastrointestinal stronýa tiimör olduðu belirlenen kitle saptandý. Rezeksiyon yapýldý. Hastanýn 2. yýl takibinde nüks görülmedi.