Spontaneous Rupture of a Gastric Stromal Tumor Causing Hemoperitoneum
2
조회
0
다운로드
0
인용
0
참고문헌
초록
We describe a 39-year-old man with spontaneous rupture of a gastric stromal tumor causing hemoperitoneum. Ultrasonography showed a large mass broadly abutting the stomach and liver. Computed tomography demonstrated a heterogeneous enhanced mass arising from the stomach and focal perforation of the tumor with hemoperitoneum; endoscopic ultrasonography showed an exophytic heterogeneous mass originating from the gastric muscle layer. Angiography revealed that the right gastric artery was the main artery supplying the tumor. A gastric stromal tumor with bloody fluid in the peritoneal cavity was seen at the laparotomy. The tumor was excised completely, and subsequent histological and immunohistochemical studies indicated that it was a gastric stromal tumor. We report a relatively rare case of gastric stromal tumor causing hemoperitoneum due to spontaneous rupture of the tumor.
Abstract
We describe a 39-year-old man with spontaneous rupture of a gastric stromal tumor causing hemoperitoneum. Ultrasonography showed a large mass broadly abutting the stomach and liver. Computed tomography demonstrated a heterogeneous enhanced mass arising from the stomach and focal perforation of the tumor with hemoperitoneum; endoscopic ultrasonography showed an exophytic heterogeneous mass originating from the gastric muscle layer. Angiography revealed that the right gastric artery was the main artery supplying the tumor. A gastric stromal tumor with bloody fluid in the peritoneal cavity was seen at the laparotomy. The tumor was excised completely, and subsequent histological and immunohistochemical studies indicated that it was a gastric stromal tumor. We report a relatively rare case of gastric stromal tumor causing hemoperitoneum due to spontaneous rupture of the tumor.
참고문헌 (13)
- Miettinen M, "Gastrointestinal stromal tumors: definition, clinical, histological, immunohistochemical, and molecular genetic features and differential diagnosis", Virchows Arch, 438, pp.1~12 (2001)
- Burkill GJ, "Malignant gastrointestinal stromal tumor: distribution, imaging features, and pattern of metastatic spread", Radiology, 226, pp.527~532 (2003)
- Levy AD, "Gastrointestinal stromal tumors: radiologic features with pathologic correlation", Radiographics, 23, pp.283~304 (2003)
- Zivkovic V, "Gastrointestinal stromal tumors (GISTs): definition, clinical, histological, immunohistochemical, and molecular genetic features, and predictors of malignant potential and differential diagnosis", Arch Oncol, 10, pp.267~271 (2002)
- Franquemont DW, "Differentiation and risk assessment of gastrointestinal stromal tumors", Am J Clin Pathol, 103, pp.41~47 (1995)
- Kitabayashi K, "A spontaneouslyruptured gastric stromal tumor presenting as generalized peritonitis: report of a case", Surg Today, 31, pp.350~354 (2001)
- Kimura H, "Pedunculated giant gastrointestinal stromal tumor of the stomach showing extragastric growth: report of a case", Surg Today, 34, pp.159~162 (2004)
- YoungKoogCheon, "A Spontaneously Ruptured Gastric Stromal Tumor with Cystic Degeneration Presenting as Hemoperitoneum: A Case Report", Journal of Korean Medical Science, 18(5), pp.751~755 (2003), 대한의학회
- Fletcher CD, "Diagnosis of gastrointestinal stromal tumors: a consensus approach", Hum Pathol, 33, pp.459~465 (2002)
- Emory TS, "Prognosis of gastrointestinal smooth-muscle (stromal) tumors: dependence on anatomic site", Am J Surg Pathol, 23, pp.82~87 (1999)
- Orosz Z, "Gastrointestinal stromal tumors:a clinicopathologic and immunohistochemical study of 136 cases", Pathol Oncol Res, 11, pp.11~21 (2005)
- Mehta RM, "Spontaneous rupture of giant gastric stromal tumor into gastric lumen", World J Surg Oncol, 3, pp.11~ (2005)
- Miettinen M, "Gastrointestinal stromal tumors: recent advances in understanding of their biology", Hum Pathol, 30, pp.1213~1220 (1999)