alexa Gastrointestinal Stromal Tumor of the Rectum Diagnosed
ISSN: 2165-7920

Journal of Clinical Case Reports
Open Access

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Case Report

Gastrointestinal Stromal Tumor of the Rectum Diagnosed by Prostate Needle Biopsy: Report of a Case

Franc Jelenc*
University Medical Center, Ljubljana, Slovenia
Corresponding Author : Franc Jelenc
University Medical Center
Ljubljana, Slovenia
Tel: +38615225050
E-mail: [email protected]
Received December 03, 2015; Accepted January 08, 2016; Published January 13, 2016
Citation:Jelenc F (2016) Gastrointestinal Stromal Tumor of the Rectum Diagnosed by Prostate Needle Biopsy: Report of a Case. J Clin Case Rep 6:686. doi:10.4172/2165-7920.1000686
Copyright: © 2016 Jelenc F. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

A 52-year-old man was referred to our institution with the presentation of rectal bleeding, and change in caliber of his stools. On rectal examination a solid mass was palpated in the prostate area. Transrectal needle biopsy and cytology showed a gastrointestinal stromal tumor. Subsequent rectal ultrasound demonstrated a hypoechogenic lesion that appeared to be growing out of the muscularis propria of the anterior rectal wall. Magnetic resonance imaging showed a well demarcated mass measuring 9 cm in diameter, which occupied the cavity of the lesser pelvis. A low anterior rectal resection with protective ileostomy was performed. The macroscopic findings showed the tumor measuring 9 cm, growing from the anterior wall of the rectum. Histological examination of the excised specimen revealed up to 5 mitoses per 50 high-power fields. The postoperative course was uneventful and ileostomy was closed after six weeks. Magnetic resonance imaging on follow-up five years postoperatively showed no signs of recurrence.

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