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Metastatic gastric tumor mimicking gastrointestinal stromal tumor

Journal Volume 75 - 2012
Issue Fasc.1 - Letters
Author(s) ümit Akyüz, Filiz Akyüz, Kamil özdil, Pınar Fırat
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(1) Department of Gastroenterology, Yeditepe University ; (2) Department of Gastroenterology, (4) Department of Pathology, Istanbul University, Istanbul Faculty of Medicine ; (3) Department of Gastroenterology, Umraniye Educational and Research Center.

astrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasms of the gastrointestinal tract and most of them are centered in the submucosa or the muscularis propria. The endoscopic appearance of GISTs is that of a submucosal lesion, with or without ulceration(1). On the other hand gastric metastatic tumors are very rare. However, endoscopic appearance can be seen as a submucosal tumor with a central depres- sion in half of them (2,3). Because of these similar appearances, differential diagnosis may be difficult by imaging methods (endoscopy or endoscopic ultrasound [EUS]). Here, we presented a case with a submucosal lesion that resembles GISTs on EUS, but was diagnosed metastatic ovarian carcinoma by fine needle aspiration (FNA).

© Acta Gastro-Enterologica Belgica.
PMID 22567751