A Case of a Gastrointestinal Stromal Tumor Diagnosed at the Postpartum Period

Introduction. We discuss a rare gastrointestinal stromal tumor (GIST) case detected at the 10th postpartum week and we want to pay attention to the challenges and improvements in the diagnosis, surgery, chemotherapy, and follow-up of this rare tumor accompanied with the review of the current literat...

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Main Authors: Sefa Kurt, Aras Emre Canda, Emre Karadeniz, Tugba Yavuzsen, Ozgul Sagol, Funda Obuz, Mehmet Serefettin Canda
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2016/3621802
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author Sefa Kurt
Aras Emre Canda
Emre Karadeniz
Tugba Yavuzsen
Ozgul Sagol
Funda Obuz
Mehmet Serefettin Canda
author_facet Sefa Kurt
Aras Emre Canda
Emre Karadeniz
Tugba Yavuzsen
Ozgul Sagol
Funda Obuz
Mehmet Serefettin Canda
author_sort Sefa Kurt
collection DOAJ
description Introduction. We discuss a rare gastrointestinal stromal tumor (GIST) case detected at the 10th postpartum week and we want to pay attention to the challenges and improvements in the diagnosis, surgery, chemotherapy, and follow-up of this rare tumor accompanied with the review of the current literature. Case Presentation. A 32-year-old multiparous woman presented with abdominal swelling 10 weeks after her second vaginal birth. Abdominal examination revealed a mass starting from the pelvic level and extending to the right upper quadrant. Radiological examinations showed a solid, multiloculated, and hypervascular mass starting from the pelvis and extending to the transverse colon. En bloc mass with a 20 cm jejunal segment resection and a left pelvic side wall peritonectomy with omentectomy was performed. The pathologic examination revealed a high-risk GIST which originated from the jejunum and disseminated to the peritoneum. The patient has been given imatinib 400 mg/day since then. She did not reveal any progression during the 15-month follow-up postoperatively. Conclusion. GIST tumors are rare and there is not sufficient information in the literature regarding its management. In this patient having high risk GIST and GIST sarcomatosis we successfully treated the patient by surgery and adjuvant imatinib chemotherapy.
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publishDate 2016-01-01
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-41912c163883451787519e3ed80fe66e2025-02-03T06:07:10ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922016-01-01201610.1155/2016/36218023621802A Case of a Gastrointestinal Stromal Tumor Diagnosed at the Postpartum PeriodSefa Kurt0Aras Emre Canda1Emre Karadeniz2Tugba Yavuzsen3Ozgul Sagol4Funda Obuz5Mehmet Serefettin Canda6Dokuz Eylul University School of Medicine, Department of Obstetrics and Gynecology, Izmir, TurkeyDokuz Eylul University School of Medicine, Department of Surgery, Izmir, TurkeyDokuz Eylul University School of Medicine, Department of Surgery, Izmir, TurkeyDokuz Eylul University School of Medicine, Department of Medical Oncology, Izmir, TurkeyDokuz Eylul University School of Medicine, Department of Pathology, Izmir, TurkeyDokuz Eylul University School of Medicine, Department of Radiodiagnostics, Izmir, TurkeyDokuz Eylul University School of Medicine, Department of Pathology, Izmir, TurkeyIntroduction. We discuss a rare gastrointestinal stromal tumor (GIST) case detected at the 10th postpartum week and we want to pay attention to the challenges and improvements in the diagnosis, surgery, chemotherapy, and follow-up of this rare tumor accompanied with the review of the current literature. Case Presentation. A 32-year-old multiparous woman presented with abdominal swelling 10 weeks after her second vaginal birth. Abdominal examination revealed a mass starting from the pelvic level and extending to the right upper quadrant. Radiological examinations showed a solid, multiloculated, and hypervascular mass starting from the pelvis and extending to the transverse colon. En bloc mass with a 20 cm jejunal segment resection and a left pelvic side wall peritonectomy with omentectomy was performed. The pathologic examination revealed a high-risk GIST which originated from the jejunum and disseminated to the peritoneum. The patient has been given imatinib 400 mg/day since then. She did not reveal any progression during the 15-month follow-up postoperatively. Conclusion. GIST tumors are rare and there is not sufficient information in the literature regarding its management. In this patient having high risk GIST and GIST sarcomatosis we successfully treated the patient by surgery and adjuvant imatinib chemotherapy.http://dx.doi.org/10.1155/2016/3621802
spellingShingle Sefa Kurt
Aras Emre Canda
Emre Karadeniz
Tugba Yavuzsen
Ozgul Sagol
Funda Obuz
Mehmet Serefettin Canda
A Case of a Gastrointestinal Stromal Tumor Diagnosed at the Postpartum Period
Case Reports in Obstetrics and Gynecology
title A Case of a Gastrointestinal Stromal Tumor Diagnosed at the Postpartum Period
title_full A Case of a Gastrointestinal Stromal Tumor Diagnosed at the Postpartum Period
title_fullStr A Case of a Gastrointestinal Stromal Tumor Diagnosed at the Postpartum Period
title_full_unstemmed A Case of a Gastrointestinal Stromal Tumor Diagnosed at the Postpartum Period
title_short A Case of a Gastrointestinal Stromal Tumor Diagnosed at the Postpartum Period
title_sort case of a gastrointestinal stromal tumor diagnosed at the postpartum period
url http://dx.doi.org/10.1155/2016/3621802
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