Elective surgery of umbilical hernia as a first clinical manifestation of a gastrointestinal stromal tumor (gist) – case report

• Authors: Bartosz Cybułka , Maciej Golański , Jacek Rapeła , Andrzej Wach

Abstracts

EN

Gastrointestinal stromal tumor is a rare pathology. GISTs account for 0.3-1% of all tumors of the gastrointestinal tract. At the same time, this type of cancer is the most common, malignant, non-epithelial tumor of the gastrointestinal tube. Over 90% of GISTs are found in the stomach and small intestine. This cancer usually develops without characteristic clinical symptoms and is diagnosed incidentally. This clinical situation, in which the first symptom of a GIST-pattern tumor includes a fully-symptomatic, non-complicated umbilical hernia, is an unprecedented anomaly. This work presents a case report of a 77-year old female patient undergoing elective surgery, in which the contents of the hernial sac included a stromal tumor. Disseminated, multi-focal progression of the disease was found intraoperatively. Postoperative histopathology and immunohistochemistry revealed a gastrointestinal stromal tumor GIST of the spindle cell type, showing a CD-117, CD-34, SMA expression with possible starting point in the small intestine.

Keywords

EN

GIST; stromal tumor; umbilical hernia

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2016
• Volume: 88(4)
• Pages: 221-225

Contributors

author

Bartosz Cybułka

author

Maciej Golański

author

Jacek Rapeła

author

Andrzej Wach

Identifiers

DOI

10.1515/pjs-2016-0056