A Case Report Anal Gastrointestinal Stromal Tumor Presenting with Obstipation

Authors

  • Thanyaporn Kanchanasuwan Internal Medicine Department, Koh Samui Hospital, Koh Samui, Suratthani 84140, Thailand.

DOI:

https://doi.org/10.31584/psumj.2023255835

Keywords:

anal canal, endoscopic ultrasonography, gastrointestinal stromal tumor, imatinib, magnetic resonance imaging

Abstract

Gastrointestinal stromal tumor (GIST) is an uncommon gastrointestinal neoplasm with high rate of malignant transformation. The tumor is found mainly in the stomach and the small intestine, and the anorectum is an extremely rare anatomical location for this pathology. GIST is often discovered incidentally by a computerized tomography scan, endoscopy or during a laparotomy for other reasons. We describe a case of 64-year-old female with a mass in the anal canal presenting with tenesmus and difficulty defecation. Endoscopic ultrasonography and magnetic resonance imaging showed a mass at the rectum, externally compressing the vaginal wall. The patient was managed by a local excision which was preceded by an upfront therapy with imatinib. Histological examination showed proliferation of spindle cells stained with CD34 compatible with GIST. On post-operative follow-up visit, the patient did well with continuing imatinib therapy. 

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Published

2023-02-03

How to Cite

1.
Kanchanasuwan T. A Case Report Anal Gastrointestinal Stromal Tumor Presenting with Obstipation. PSU Med J [Internet]. 2023 Feb. 3 [cited 2024 Nov. 20];3(1):21-5. Available from: https://he01.tci-thaijo.org/index.php/PSUMJ/article/view/255835

Issue

Vol. 3 No. 1 (2023): Jan-Apr

Section

Short Reports

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