Thai Journal of Gastroenterology

Article :
A Thai Man with a Abdominal Palpable Mass for 5 Months

Author :
Chanunta Hongthanakorn, M.D.
Siwaporn Chainuvati, M.D.

Abstract :

               GIST is an uncommon disease but it commonly metastases to liver.  We reported a 42 year old Thai man who presented with enlargement abdominal palpable mass that had been observed for the previous 5 months. Diagnostic imaging revealed multiple varying size of liver cystic lesions and post contrast ring enhancement. There were thickened wall and contained fluid content. There were bowel mass under pancreas and Lt. renal vein. Both lesions had the same characteristic as liver lesions. Endoscopic examination revealed large polypoid ulcerative lesion about 3.5 cm in diameter at jejunum (100 cm from dental line).  Histopathologic tissue presented multiple spindle cell and immunohistochemical stains for CD117 and S100 were positive.  He was diagnosed as GIST with liver metastases. He received 400 mg per day of Imatidib treatment. After 5 months of treatment, his clinical conditions were improved and the liver lesions’ size was decreased.

[Thai J Gastroenterol 2006; 7(1): 55-60]

Keyword :
GIST, malignant cystic lesion, cystic liver metastases

PDF Download :
file/Thai-Journal-of-gastroenterology-vol-7-no-1-2878226.pdf