Treatment of a localized exogastric gastrointestinal stromal tumour (GIST) with long-term follow up: A case report and review of literature

Ekpemiro UC; Chukwu IS; Jegede OO; Chukwuegbo CC; Bassey IA

doi:10.61386/imj.v17i3.524

Authors

Ekpemiro UC Department of Surgery, Federal Medical Centre, Umuahia, Abia State, Nigeria
Chukwu IS Department of Surgery, Federal Medical Centre, Umuahia, Abia State, Nigeria
Jegede OO Department of Pathology, Federal Medical Centre, Umuahia, Abia State
Chukwuegbo CC Department of Pathology, Federal Medical Centre, Umuahia, Abia State
Bassey IA Department of Pathology, University of Calabar Teaching Hospital, Calabar, Nigeria

DOI:

https://doi.org/10.61386/imj.v17i3.524

Keywords:

GIST, gastric, exogastric, large mass

Abstract

Background: Gastrointestinal stromal tumour (GIST) is a rare entity. The diagnosis, treatment and follow-up pose a challenge in our environment. We describe the presentation, diagnosis, treatment, and long-term follow-up of a patient with a localized, large exogastric GIST.

Method: The case notes of a 51-year-old woman who presented with a one-year history of upper abdominal swelling with no associated symptom was reviewed.

Result: On examination, an oval intraperitoneal mass at the epigastrium measuring 16 x 14cm which was freely mobile, smooth, firm, non-tender with dull percussion notes was found. She subsequently had resection of a large exogastric mass with a histologic diagnosis of GIST. Following tumour resection with a wide margin of gastric wall, she has done well so far for ten (10) years.

Conclusion: Wide margin gastric resection may suffice in the treatment of a large localized gastric GIST when it is exogastric.