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Wednesday 1 June 2016

CASE 380: PEDUNCULATED GASTRIC TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.




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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