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Extragastrointestinal stromal tumor
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Extragastrointestinal stromal tumor

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Contributors: Abhijeet Waghray MD, Paritosh Prasad MD
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Synopsis

Extragastrointestinal stromal tumor : Abdominal pain, Fatigue, Abdominal mass, GI bleeding
A gastrointestinal stromal tumor (GIST) is a mesenchymal neoplasm most commonly seen in the gastrointestinal (GI) tract. It represents 1% of all malignancies. Most GISTs express the KIT (CD117) immunohistochemical marker. Extra-gastrointestinal stromal tumors are rare and have been described to involve the central nervous system, omentum, or peritoneum.

Extraintestinal GISTs have histologic and immunohistochemical features identical to those of GISTs. While abdominal pain, anorexia, and GI bleeding are common presenting symptoms when GISTs occur within the GI tract, there are no specific presenting symptoms for extra-intestinal GISTs. Typically, symptoms relate to the affected part / system of the body.

Extraintestinal GISTs are most common in individuals of Northern European descent, occur equally in men and women, and have peak incidence in the fourth to sixth decades of life. Given the rarity of extraintestinal GISTs, prognosis and incidence have yet to be defined.

Codes

ICD10CM:
D48.1 – Neoplasm of uncertain behavior of connective and other soft tissue

SNOMEDCT:
420120006 – Gastrointestinal stromal tumor

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Malignant neoplasms of the small intestine
  • Benign neoplasm of the small intestine
  • Colon cancer
  • Intestinal malignancy
  • Leiomyoma
  • Lipomas
  • Lymphoma

Best Tests

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Management Pearls

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Therapy

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References

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Last Reviewed:03/01/2018
Last Updated:03/01/2018
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Extragastrointestinal stromal tumor
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A medical illustration showing key findings of Extragastrointestinal stromal tumor : Abdominal pain, Fatigue, Abdominal mass, GI bleeding
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