CASE REPORT   

Il Giornale Italiano di Radiologia Medica 2018 Novembre-Dicembre;5(6):757-62

DOI: 10.23736/S2283-8376.18.00131-6

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Esophageal GIST: an unusual, bulky manifestation

Aldo FISCHETTI ¹ ✉, Nicola ROMANO ¹, Gianluca FICARRA ¹, Ilaria MUSSETTO ¹, Enrico F. MELANI ², Mariangela RUTIGLIANI ³, Gian Andrea ROLLANDI ²

¹ Dipartimento di Scienze della Salute (DISSAL), Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Genova, Genova, Italia; ² Struttura Complessa di Radiodiagnostica, Ente Ospedaliero Ospedali Galliera, Genova, Italia; ³ Struttura Complessa di Anatomia e Istologia Patologica, Ente Ospedaliero Ospedali Galliera, Genova, Italia

We report the case of a 53-year-old man suffering from worsening dysphagia for several months and initial anemia. A CT scan with contrast medium was performed which demonstrated the presence of a voluminous expansive lesion of the distal third esophagus. Histological examination defined the diagnosis of esophageal gastrointestinal stromal tumor (GIST). The aim of this article is to illustrate the CT aspect and the metabolic behavior of the esophageal GIST, a rare localization, and to correlate the imaging with the anatomical and pathological features. Then expose the main differential diagnoses with the other esophageal neoplastic lesions.

KEY WORDS: Gastrointestinal stromal tumors - Esophageal neoplasms - Prognosis