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KMID : 0359020070350050337
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Korean Journal of Gastrointestinal Endoscopy
2007 Volume.35 No. 5 p.337 ~ p.341
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A Case of a Gastric Gastrointestinal Stromal Tumor with a Fistula and Gastrointestinal Bleeding
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Lee Jin-Ho
Moon Jung-Youn
Kim Hyun-Jung
Huh Jung-Eun
Park Jong-Ryul
Jang Hye-Jung
Yoon Ji-Hoon
Park Seung-Keun
Park Hee-Ug
Kim Hye-Sook
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Abstract
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There has been much debate on the origin, differentiation and prognosis of gastrointestinal stromal tumors (GIST). Based on recent studies, we consider Cajal interstitial cell as the origin of a GIST. The common symptoms of a GIST are abdominal pain, hemorrhage, and the presence of a mass. However, there are few reported cases of a GIST with abscess pockets that communicate with the lumen of the stomach via a fistula. We report a case of a GIST of the stomach presenting with an abscess and a fistula communicating with the lumen of the stomach. An 84-year-old man presented with continuous fever and general weakness. We were able to diagnose the disease by an endoscopic examination, CT scan, biopsy and by cellular immunohistochemical staining. (Korean J Gastrointest Endosc 2007;35:337-341)
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KEYWORD
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GIST, Fistula
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