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ACUTE BLEEDING IN GASTROINTESTINAL STROMAL TUMOR OF THE OESOPHAGUS - CASE REPORT
Internal clinic, Klinical center Kragujevac , Kragujevac , Serbia
Internal clinic, Klinical center Kragujevac , Kragujevac , Serbia
Internal clinic, Medical faculty Priština , Kosovska Mitrovica , Kosovo*
Internal clinic, Medical faculty Priština , Kosovska Mitrovica , Kosovo*
Published: 01.12.2010.
Volume 38, Issue 2 (2010)
pp. 147-150;
Abstract
Gastrointestinal stromal tumors are the most common mesenchymal tumors of the gastrointestinal tract. Anatomic locations, in decreasing, are: stomach (60%), small intestine (30%), colon and rectum (5%), oesophagus (5%). Histogenesis is still unclear, criteria of malignancies are not adapted, biological behavior in not known, and the diagnosis and prognosis are questionaly. Although usually asymptomatic, large gastrointestinal stromal tumor may present with repeated bleeding. Most often diagnosis in mode during the explorative laparotomy and postoperative immunohistochemical analysis of specimen. In this paper we have analized patients with gastrointestinal stromal tumors of the oesophagus. The patient preoperatively diagnosed submucosal tumor of the esophagus presented with repeated gastrointestinal bleeding. After the resuscitation, we performed total gastrectomy. The immunohistochemical analysis proved benign GIST. Surgical resection is a treatment of choice gastrointestinal stromal tumors presented with gastrointestinal bleeding.
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