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Saturday 16 November 2013

CASE 220:SMALL BOWEL G. I. S T.: Dr LÊ THANH LIÊM, Dr VÕ NGUYỄN THÀNH NHÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM



Male 65 yo, occult blood stool  (+) in check-up,  then underwent  colonic endoscopy to confirm colon tumor, but only colonic polyp was detected.



Ultrasound pre endoscopy disclosed  a hypoechoic mass in LLQ, semilunar shape, with size of 28x25mm which  one part of contour was regularly round and another part close by lumen gas inside a loop of small bowel . There was vessels into this mass. 




The LLQ mass was thought to be a GIST of small bowel.
CEA rising of 5.38ng/mL
MSCT confirmed  the small bowel GIST later.


Surgery was done, macroscopic result was mural tumor of small bowel





Microscopy and immunohistostaining were proved for GIST tumor of small bowel.

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