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KMID : 0931320230230040306
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대한상부위장관.헬리코박터학회지
2023 Volume.23 No. 4 p.306 ~ p.310
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Rapidly Growing, High-Risk Gastrointestinal Stromal Tumor of the Stomach: A Case Report
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Lim Sung-Jin
Yoo Han-Mo
Lee Seung-Woo
Sul Hae-Joung
Lee Dong-Soo
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Abstract
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An increase in the volume of endoscopic procedures performed in recent times has led to increasing detection rates of asymptomatic gastrointestinal subepithelial tumors. However, accurate diagnosis and risk assessment of these tumors preoperatively is challenging. A 70-year-old man patient visited the emergency department for evaluation of melena. Emergency endoscopy revealed an ulcerated subepithelial tumor (8 cm in size) in the gastric cardia and fundus. Computed tomography and upper endoscopy performed at another hospital 6 months earlier were reviewed; the mass showed a significant increase in size (from 2 cm to 8 cm). The patient underwent surgical resection of the mass and was diagnosed with a high-risk gastrointestinal stromal tumor (GIST). In this article, we describe a rare case of a rapidly growing GIST at a rate significantly greater than commonly reported rates.
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KEYWORD
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Gastrointestinal stromal tumor, Gastrointestinal hemorrhage, Stomach
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