Refaey, M., Emara, M., Zaher, T., Ezzat, T., El-Moghazy, M. (2012). Gastrointestinal Stromal Tumors with Unusual Presentations: Case Series. test, 2(3), 125-130. doi: 10.21608/aeji.2012.16065
Mohamed Refaey; Mohamed H Emara; Tarik I Zaher; Tarik M Ezzat; Magdy B El-Moghazy. "Gastrointestinal Stromal Tumors with Unusual Presentations: Case Series". test, 2, 3, 2012, 125-130. doi: 10.21608/aeji.2012.16065
Refaey, M., Emara, M., Zaher, T., Ezzat, T., El-Moghazy, M. (2012). 'Gastrointestinal Stromal Tumors with Unusual Presentations: Case Series', test, 2(3), pp. 125-130. doi: 10.21608/aeji.2012.16065
Refaey, M., Emara, M., Zaher, T., Ezzat, T., El-Moghazy, M. Gastrointestinal Stromal Tumors with Unusual Presentations: Case Series. test, 2012; 2(3): 125-130. doi: 10.21608/aeji.2012.16065

Gastrointestinal Stromal Tumors with Unusual Presentations: Case Series

Afro-Egyptian Journal of Infectious and Endemic Diseases
Article 5, Volume 2, Issue 3, September 2012, Pages 125-130    PDF (420.96 K)
Document Type: Case report
DOI: 10.21608/aeji.2012.16065
Authors
Mohamed Refaey* 1; Mohamed H Emara2; Tarik I Zaher2; Tarik M Ezzat3; Magdy B El-Moghazy4
1Tropical Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
2Tropical Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
3General Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
4General Surgery Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Abstract
Background: Gastrointestinal stromal tumors are rare mesenchymal tumors; and it may be presented by a variety of manifestations.. Case Presentation: A 56-year-old Egyptian male patient presented with a massive gastrointestinal bleeding with hemodynamic instability, with history of previous two mild attacks. After initial resuscitation, endoscopic, pathological and immunohistochemical examination; diagnosis of gastrointestinal stromal tumor was confirmed. The patient's tumor is of low risk and complete surgical excision with safety margins was performed. Another 60-year-old Egyptian female diabetic patient presented for preoperative assessment for cataract operation. On examination large abdominal mass was discovered. After initial diagnostic work up surgical resection was done. Pathological and immunohistochemical examination confirmed the diagnosis of gastrointestinal stromal tumor. Conclusion: Gastrointestinal stromal tumors, should not be overlooked while investigating cases of massive upper gastrointestinal bleeding and cases of large abdominal masses especially in elderly patients
Keywords
Gastrointestinal stromal tumors; hematemesis; melena; abdominal mass; immuonohistochemisrty
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