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Monday, 14 April 2014

CASE 248: GASTRIC WALL TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Woman 75 yo vomiting, endoscopy detected  an extragastric fundus tumor (see  pictures).


Ultrasound of abdomen showed one hypoechoic mass with size of 4 cm, well-bordered at the hilus of  spleen ( see 2 ultrasound pictures).



MSCT with CE  found out this mass bending the wall of great curvature of stomach, very slow CE enhancement (see 3 CT pictures).





Blood tests of all  markers are normal.
What is your suggestion of diagnosis?
Open surgery removed the tumor easily. It grew from gastric fundus wall, its structure was hard.


MICROSCOPIC  REPORT  WITH  IMMUNOHISTO CHEMISTRY  SAYS  GIST OF  STOMACH WALL.

REFERENCE:

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