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Case Reports
. 2015 Jun 1;8(2):20-6.
doi: 10.5539/gjhs.v8n2p20.

Gastrointestinal Stromal Tumor: May Mimic Adnexal Mass

Nilay Karaca  1 , Yasam Kemal Akpak, Zeynep Tatar, Gonca Batmaz, Aslihan Erken
Affiliations
Case Reports

Gastrointestinal Stromal Tumor: May Mimic Adnexal Mass

Nilay Karaca et al. Glob J Health Sci. .

Abstract

Gastrointestinal stromal tumors (GISTs) are rare tumor of the gastrointestinal tract. GISTs occur in the entire gastrointestinal tract and may also arise from the retroperitoneum, omentum and mesenteries. They are originated from gastrointestinal pacemaker cells (Cajal's interstitial cells) and range from benign tumors to sarcomas at all sites of occurrence. Diagnosis of GIST could be deceptive because of their similarity in appearance to gynecological neoplasms. We would like to present a case of a woman with GIST in the small intestine giving a imprint of an adnexal mass was diagnosed correctly during surgery. The diagnosis and treatment of GIST has been reformed over the past years. It is crucial to separate GISTs from possible misdiagnosis because their prognosis and treatment could be unlike clearly. The purpose of this case is to evaluate this rarely seen clinical entity, and thus, make some contribution to the literature.

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Conflict of interest statement

Conflict of Interest

The authors declare that they have no conflict of interest. All authors contributed equally to this study.

Figures

Figure 1
Figure 1
Bilobular appearing solid lesion 66×45 mm in size showing prominent contrast material fixation in enhanced images with a necrotic component in the centre
Figure 2
Figure 2
Tumoral mass with nodular features but with smooth surface 70×50×40 mm in size (blue and red arrows) adjacent to intestinal segment (yellow arrow). Cross sectional surface is relatively soft in consistency and includes occasional yellow areas (red arrow) concordant with necrosis
Figure 3
Figure 3
Substantial cellurarity increase and increased mitosis activity in the cells (Field marked with a circle surrounded), wide necrosis and bleeding areas (field marked with a square surrounded)
Figure 4
Figure 4
The relationship of tumoral tissue with intestinal mucosa. The area shown by black arrow is intestinal mucosa. The area shown by blue arrow is tumoral area
See this image and copyright information in PMC

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