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KMID : 1137020120230010048
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Journal of Gynecologic Oncology
2012 Volume.23 No. 1 p.48 ~ p.52
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Gastrointestinal stromal tumors as an incidental finding in patients with a presumptive diagnosis of ovarian cancer
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Munoz Mario
Echeverri Carolina
Alvarez Luis Guillermo
Palomino Maria Alejandra
Pareja Luis Rene
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Abstract
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Objective: To report the clinical presentation and oncologic outcomes of a series of patients who presented with an abdominal or pelvic mass and were diagnosed with a gastrointestinal stromal tumor (GIST).
Methods: Data were obtained on all patients who presented with an abdominal or pelvic mass between September 2007 and June 2010 and who were ultimately diagnosed with a GIST. The patients’ medical records were reviewed. A literature review was also conducted.
Results: Six patients were identified who met the inclusion criteria. All six patients had a tumor in the intestinal tract arising from the small bowel. The mean tumor size was 12 cm (range, 6 to 22 cm). A complete resection was achieved in five of the six patients. There were no intraoperative complications; one patient had a postoperative complication. Two patients were treated with imatinib after surgery. The mean follow-up time was 32 months (range, 0.3 to 40 months). At the last follow-up, five of the six patients were without any evidence of disease. One patient died of an unrelated hepatic encephalopathy. The incidence in our institution is 3%.
Conclusion: GISTs are uncommon; however, they should be considered in the differential diagnosis of patients presenting with an abdominal or pelvic mass.
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KEYWORD
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Adnexal mass, Gastrointestinal stromal tumor, Incidental finding
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