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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2004 February;17(1):23-6
Ileal stromal tumor. Case report and preoperative diagnosis
Calati A. M., Moneghini L., Meda S., Schubert L.
The authors present a case report of gastrointestinal stromal tumor (GIST) occurred in the ileum. The patient was a caucasic male, 51-years old. A CT scan performed in the follow-up of a pulmonary disease (then diagnosed as pneumonia) showed a 3.5 cm tumor strictly close to the anterior abdominal wall (paramedian left). An ultrasound-guided fine needle biopsy allowed a preoperative diagnosis of GIST. Surgical therapy consisted in a limited resection of the medio-ileal tract involved. Definitive examination confirmed the histological benign characteristics. No evidence of recurrence in the 18-months follow-up. Classification and pathological, histological and immunohistochemical characteristics of GIST are discussed. The most important feature is the diagnosis obtained preoperatively with transparietal biopsy; no morbility due to the procedure was recorded. The definitive benign diagnosis was made, although the poor differentiation on: small size, no cellular atypies, necrosis, hemorrhagies, low mitotic index. Follow-up data confirm the benign character. A case report of an uncommon tumor, particularly in the ileum, with the apparently unique feature of the diagnosis obtained preoperatively, through a procedure usually not feasible for intestinal tumors. Although some histological benign characteristics, a life-long surveillance seems to be mandatory.