Laparoscopic management of giant gastrointestinal stromal tumor masquerading as infected mesenteric cyst

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dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridciftci, felat/0000-0002-8958-7121
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.contributor.authorAkbulut, Sami
dc.contributor.authorCiftci, Felat
dc.contributor.authorDirican, Abuzer
dc.date.accessioned2024-08-04T20:59:49Z
dc.date.available2024-08-04T20:59:49Z
dc.date.issued2018
dc.departmentİnönü Üniversitesien_US
dc.description.abstractGastrointestinal stromal tumors (GISTs) are the most common non-epithelial (mesenchymal) tumors of the gastrointestinal tract. Although GISTs appear as solid and well-circumscribed lesions in most patients, they may also appear as solid-cystic (mixed) or pure cystic lesions due to reasons like intra-tumor hemorrhage and necrosis in a very small percentage of patients. Hence, cystic GISTs mostly lead to a diagnostic dilemma. In this paper we aimed to report a case of pure cystic giant GIST that was drained percutaneously twice after being misdiagnosed as a mesenteric cyst. An 83-year-old man was operated for a pre-diagnosis of a recurrent mesenteric cyst. The operation was started with the three-trocar laparoscopic technique. Six thousand milliliters of purulent fluid were drained from the cystic lesion. Then, a mini incision was performed above the umbilicus and the cyst and the distal ileal segment where it was originated were removed from the abdominal cavity. After the resection of a 15-cm ileal segment together with the cystic lesion, an intestinal anastomosis was performed. The histopathological and immunohistochemical findings showed that the mass was a GIST (size: 20 cm, mitosis: 3/50 HPF; Ki 67: %15, CD117: positive, DOG-1: positive). The patient was closely followed without imatinib therapy.en_US
dc.identifier.endpage346en_US
dc.identifier.issn0003-469X
dc.identifier.issn2239-253X
dc.identifier.issue4en_US
dc.identifier.pmid30337502en_US
dc.identifier.startpage342en_US
dc.identifier.urihttps://hdl.handle.net/11616/103565
dc.identifier.volume89en_US
dc.identifier.wosWOS:000445319300010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherEdizioni Luigi Pozzien_US
dc.relation.ispartofAnnali Italiani Di Chirurgiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAbscessen_US
dc.subjectCystic Degenerationen_US
dc.subjectGISTen_US
dc.subjectMistreatmenten_US
dc.titleLaparoscopic management of giant gastrointestinal stromal tumor masquerading as infected mesenteric cysten_US
dc.typeArticleen_US

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