Abdominal ultrasound – the leading method in duodenal gist diagnostics.

ABDOMINAL ULTRASOUND – THE LEADING METHOD IN DUODENAL GIST DIAGNOSTICS.
Acta Clin Croat. 2017 03;56(1):183-7
Authors: Bohnec S, Budimir I, Hrabar D, Babić N, Budimir I, Nikolić M, Pavić I
Abstract
Gastrointestinal stromal tumors (GIST) are the most common mesenchymal
tumors of the digestive tract and are generally asymptomatic. A 39-year-old female patient was hospitalized
in 2012 at Clinical Department of Internal Medicine, Sestre milosrdnice University Hospital
Center, for a focal hypodense irregular circular lesion located in segment III of the left hepatic lobe,
accidentally found by ultrasonography and verified by computed tomography. The findings were also
verified with nuclear magnetic resonance and esophagogastroduodenoscopy. A biopsy sample of the
lesion was analyzed by histologic and immunohistochemical methods and identified as GIST. The
patient underwent surgical operation (tumor excision with terminoterminal anastomosis created
between the second segment of duodenum and jejunum and resection of liver segment III). The
histopathologic findings matched GIST with a high probability of relapse according to the localization,
size, mitotic activity and Ki-67 values. Therefore, therapy with imatinib at a dose of 400 mg/day was
administered. Three years after the operation, the patient is still in remission.
PMID: 29120569 [PubMed - in process]

Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research