ID 84159
Title Transcription
チツシュヨウ トノ カンベツ ガ コンナン ダッタ チョクチョウ GIST ノ 1 レイ
Title Alternative
A case of gastrointestinal stromal tumor of rectum which is difficult of differential diagnosis with vaginal tumor
Author
Ikawa, Koichi Department of Surgery, Health Insurance Naruto Hospital
Bando, Yoshiaki Department of Surgery, Health Insurance Naruto Hospital
Miyoshi, Yasuyuki Department of Surgery, Health Insurance Naruto Hospital
Iwasaka, Naohito Department of Surgery, Health Insurance Naruto Hospital
Murasawa, Masatoshi Department of Surgery, Health Insurance Naruto Hospital
Keywords
GIST(GIST of rectum)
vaginal tumor
Content Type
Journal Article
Description
We report a rare case of gastrointestinal stromal tumor of rectum. A 57-year-old-woman was admitted to our hospital complaining of genital bleeding. MRI showed the presence of an 11.2×8.7cm cystic tumor in pelvis. The border is unclear between the tumor and vagina and rectum. We could not get the diagnosis with biopsy and performed partial resection of vagina and rectal amptation considering the tumor as a vaginal tumor. Histologic examination revealed fascicular proliferation of spindle-shaped tumor cells developed from rectum. Immunohistochemical testing was c-ki(t +), CD 34(+), smooth muscle actin(‐), desmin(‐)and S‐100 protein(‐). The tumor was diagnosed as GIST of rectum. Post-operative course was uneventful and no evidence of recurrence is detected 13 months after the operation. We could not get the preoperative diagnosis and performed the operation as a vaginal tumor, however rectal GIST should be considered when detect a pelvic tumor.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Volume
63
Issue
1-2
Start Page
44
End Page
48
Sort Key
44
Published Date
2007-04-25
Remark
FullText File
language
jpn