New Abdominal Mass After Surgery for Gastrointestinal Stromal Tumor: Desmoid-Type Fibromatosis Difficult to Distinguish from Mesenchymal Tumor – A Case Report

Xiaodong Wang, Chunhui Shou, Kankai Zhu, Weili Yang, Jiren Yu Gastroenterology Department, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of ChinaCorrespondence: Jiren Yu, Gastroenterology Department, the First Affiliated Hospital, Zhejia...

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Main Authors: Wang X, Shou C, Zhu K, Yang W, Yu J
Format: Article
Language:English
Published: Dove Medical Press 2024-11-01
Series:International Medical Case Reports Journal
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Online Access:https://www.dovepress.com/new-abdominal-mass-after-surgery-for-gastrointestinal-stromal-tumor-de-peer-reviewed-fulltext-article-IMCRJ
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author Wang X
Shou C
Zhu K
Yang W
Yu J
author_facet Wang X
Shou C
Zhu K
Yang W
Yu J
author_sort Wang X
collection DOAJ
description Xiaodong Wang, Chunhui Shou, Kankai Zhu, Weili Yang, Jiren Yu Gastroenterology Department, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of ChinaCorrespondence: Jiren Yu, Gastroenterology Department, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of China, Email yujr0909@zju.edu.cnAbstract: A new lump in patients with a history of gastrointestinal stromal tumor (GIST) may indicate resistance to medication and recurrence. It is important to monitor for recurrence or metastasis after surgery for GIST, especially in cases of high-risk GIST, as it determines the subsequent treatment. However, it is difficult to differentiate between GIST and DF by imaging. Tissue biopsy and final diagnosis through pathological analysis are usually required. Here, we report 2 cases of primary diagnosis with high-risk GIST and suspected tumor recurrence during Imatinib treatment. The mass was not located where the previous GIST lesion had been. After the complete excision of the mass through laparoscopic surgery, the pathological findings revealed that it was not a recurrence of GIST, but a desmoid-type fibromatosis.Keywords: lumpectomy, pathological diagnosis, GIST, imatinib
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publishDate 2024-11-01
publisher Dove Medical Press
record_format Article
series International Medical Case Reports Journal
spelling doaj-art-74f1a89e1ae24e369f3c9f62e2cee2be2024-11-14T17:37:44ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2024-11-01Volume 1796596997293New Abdominal Mass After Surgery for Gastrointestinal Stromal Tumor: Desmoid-Type Fibromatosis Difficult to Distinguish from Mesenchymal Tumor – A Case ReportWang XShou CZhu KYang WYu JXiaodong Wang, Chunhui Shou, Kankai Zhu, Weili Yang, Jiren Yu Gastroenterology Department, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of ChinaCorrespondence: Jiren Yu, Gastroenterology Department, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of China, Email yujr0909@zju.edu.cnAbstract: A new lump in patients with a history of gastrointestinal stromal tumor (GIST) may indicate resistance to medication and recurrence. It is important to monitor for recurrence or metastasis after surgery for GIST, especially in cases of high-risk GIST, as it determines the subsequent treatment. However, it is difficult to differentiate between GIST and DF by imaging. Tissue biopsy and final diagnosis through pathological analysis are usually required. Here, we report 2 cases of primary diagnosis with high-risk GIST and suspected tumor recurrence during Imatinib treatment. The mass was not located where the previous GIST lesion had been. After the complete excision of the mass through laparoscopic surgery, the pathological findings revealed that it was not a recurrence of GIST, but a desmoid-type fibromatosis.Keywords: lumpectomy, pathological diagnosis, GIST, imatinibhttps://www.dovepress.com/new-abdominal-mass-after-surgery-for-gastrointestinal-stromal-tumor-de-peer-reviewed-fulltext-article-IMCRJlumpectomypathological diagnosisgistimatinib
spellingShingle Wang X
Shou C
Zhu K
Yang W
Yu J
New Abdominal Mass After Surgery for Gastrointestinal Stromal Tumor: Desmoid-Type Fibromatosis Difficult to Distinguish from Mesenchymal Tumor – A Case Report
International Medical Case Reports Journal
lumpectomy
pathological diagnosis
gist
imatinib
title New Abdominal Mass After Surgery for Gastrointestinal Stromal Tumor: Desmoid-Type Fibromatosis Difficult to Distinguish from Mesenchymal Tumor – A Case Report
title_full New Abdominal Mass After Surgery for Gastrointestinal Stromal Tumor: Desmoid-Type Fibromatosis Difficult to Distinguish from Mesenchymal Tumor – A Case Report
title_fullStr New Abdominal Mass After Surgery for Gastrointestinal Stromal Tumor: Desmoid-Type Fibromatosis Difficult to Distinguish from Mesenchymal Tumor – A Case Report
title_full_unstemmed New Abdominal Mass After Surgery for Gastrointestinal Stromal Tumor: Desmoid-Type Fibromatosis Difficult to Distinguish from Mesenchymal Tumor – A Case Report
title_short New Abdominal Mass After Surgery for Gastrointestinal Stromal Tumor: Desmoid-Type Fibromatosis Difficult to Distinguish from Mesenchymal Tumor – A Case Report
title_sort new abdominal mass after surgery for gastrointestinal stromal tumor desmoid type fibromatosis difficult to distinguish from mesenchymal tumor ndash a case report
topic lumpectomy
pathological diagnosis
gist
imatinib
url https://www.dovepress.com/new-abdominal-mass-after-surgery-for-gastrointestinal-stromal-tumor-de-peer-reviewed-fulltext-article-IMCRJ
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