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DOI: 10.5097/1300-0705.UCD.128-09.03
2010, Cilt 26, Sayı 2, Sayfa(lar) 106-108
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| Stromal tumor originating from sigmoid mesocolon: A case report |
| Rojbin Karakoyun, Oktay Banlı, Hasan Altun |
| Şişli Etfal Eğitim ve Araştırma Hastanesi, 1.Genel Cerrahi Kliniği, İstanbul, Türkiye |
| Keywords: Extra-gastrointestinal stromal tumor, surgical therapy, sigmoid mesocolon |
Gastrointestinal stromal tumors arise from mesenchymal cells of gastrointestinal
tract and are seen rarely. In fewer than 5% of cases they
arise from outside of gastrointestinal tract, they originate primarily
from mesentery, omentum and peritoneum. These are called extragastrointestinal
tumors and they share the histological features with
their gastrointestinal counterparts. A 57-year-old male patient was admitted
to our hospital with complaint of abdominal pain. In his physical
examination, an abdominal mass was detected in his left lower
quadrant. Radiological examinations revealed an abdominal mass
measuring 13x9 cm in diameter, adjacent to the bladder. Laparotomy
demonstrated a lobulating mass of about 13x10 cm in diameter, originating from mesenterium of the sigmoid colon. En-bloc resection of
the tumor with sigmoidectomy and end-to-end anastomosis was performed.
Histopathology of the specimen showed that the tumor demonstrating
high cellularity composed of spindle-shaped tumor cells.
There was no continuity of tumor within the sigmoid colon and the
margins of specimen were tumor-negative. Immunohistochemically,
the tumor was positive for c-kit (CD 117). The tumor was diagnosed
as a gastrointestinal stromal tumor originating from mesenterium of
the sigmoid colon. A gastrointestinal stromal tumor of the sigmoid
mesenterium is a rare entity. Surgical resection is the treatment of
choice for these tumors, which usually have a poor prognosis.
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