Esophageal Gastrointestinal Stromal Tumour: A Case Report
International Journal of Cardiovascular and Thoracic Surgery
Volume 2, Issue 1, May 2016, Pages: 1-4
Received: Dec. 30, 2015; Accepted: Feb. 29, 2016; Published: May 5, 2016
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Authors
Antonello Cuttitta, IRCCS “Casa Sollievo della Sofferenza” Hospital, Unit of General Surgery 2nd and Thoracic Surgery, Viale Cappuccini 1, San Giovanni Rotondo, Foggia, Italy
Antonio Tancredi, Azienda Sanitaria Locale di Foggia, “San Camillo De Lellis” Hospital, Unit of General Surgery, Via Isonzo, Manfredonia, Foggia, Italy
Roberto Scaramuzzi, Second University of Naples, Unit of Thoracic Surgery, Piazza Miraglia 2, Naples, NA, Italy
Paola Parente, IRCCS “Casa Sollievo della Sofferenza” Hospital, Unit of Pathology, Viale Cappuccini 1, San Giovanni Rotondo, Foggia, Italy
Gerardo Scaramuzzi, IRCCS “Casa Sollievo della Sofferenza” Hospital, Unit of General Surgery 2nd and Thoracic Surgery, Viale Cappuccini 1, San Giovanni Rotondo, Foggia, Italy
Marco Taurchini, IRCCS “Casa Sollievo della Sofferenza” Hospital, Unit of General Surgery 2nd and Thoracic Surgery, Viale Cappuccini 1, San Giovanni Rotondo, Foggia, Italy
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Abstract
Gastrointestinal stromal tumours (GISTs) represent 0.1-3% of all neoplasms of the digestive tract and only in 1-2% of cases they arise in the esophagus. The most frequent clinical manifestations of esophageal GISTs (E-GISTs) are dysphagia, atypical chest pain, cough or gastrointestinal bleeding. Preoperative study is made by endoscopy, echo-endoscopy, biopsy and computed tomography or magnetic resonance imaging. The preoperative diagnosis is difficult because only histological examination can differentiate them from other esophageal tumours (as leiomyoma, schwannoma and leiomyosarcoma) and rarely a biopsy is performed at a submucosal well-circumscribed esophageal mass. Surgery is the first choice approach for localized and resectable cases. Thoracoscopic or laparoscopic enucleation is sufficient for small-sized and well-capsulated tumours, instead, esophagectomy should be considered in all other cases. Imatinib is the drug of choice for pharmacologic treatment in advanced disease. We report our anecdotal experience of a 63-year old male patient presented at our Unit complaining of dysphagia and underwent transhiatal laparoscopic enucleation of E-GIST.
Keywords
Gastrointestinal Stromal Tumours, Esophageal Neoplasms, Dysphagia, Laparoscopy
To cite this article
Antonello Cuttitta, Antonio Tancredi, Roberto Scaramuzzi, Paola Parente, Gerardo Scaramuzzi, Marco Taurchini, Esophageal Gastrointestinal Stromal Tumour: A Case Report, International Journal of Cardiovascular and Thoracic Surgery. Vol. 2, No. 1, 2016, pp. 1-4. doi: 10.11648/j.ijcts.20160201.11
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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