scholarly journals Gastrointestinal Stromal Tumor of the Rectovaginal Septum, a Diagnosis Challenge

10.5772/32281 ◽  
2012 ◽  
Author(s):  
Josefa Marcos ◽  
Maria Jose Roman Sanchez ◽  
Jose Antonio Lopez Fernandez ◽  
scar Pinero ◽  
Amparo Candela ◽  
...  

2004 ◽  
Vol 14 (2) ◽  
pp. 373-377 ◽  
Author(s):  
K. Nasu ◽  
T. Ueda ◽  
S. Kai ◽  
H. Anai ◽  
Y. Kimura ◽  
...  

We report herein a rare case of malignant gastrointestinal stromal tumor (GIST) originated from the rectal wall, which presented as a tumor on the rectovaginal septum.A 54-year-old Japanese woman, gravida 4, para 3, was admitted complaining of anuresis and severe constipation. She had a history of hysterectomy and right salpingo-oophorectomy for uterine leiomyoma 11 years previously. Pelvic examination revealed an 8.5 × 7.5 × 7.5 cm hard mass in the rectovaginal space. The inferior border of the tumor was 2 cm from the vaginal introitus and 2 cm from the anus. Computed tomography and magnetic resonance imaging showed a well-circumscribed soft-tissue mass filling the rectovaginal space. Urinary bladder and rectum were markedly compressed and displaced. Colon fiberscopy revealed invasion of the tumor into the rectal mucosa. An abdominoperineal resection of the rectum with posterior vaginal wall resection and pelvic lymphadenectomy was performed. The resected specimen showed a rectal submucosal tumor that was 8 × 8 × 7 cm in size. The tumor was diagnosed as a malignant GIST. Immunohistochemical analysis confirmed this diagnosis. The patient is now healthy without evidence of recurrence at 13 months after surgery.Gynecologists should be aware of rectal GIST arising in the rectovaginal space as a differential diagnosis of vaginal submucosal tumor.



2004 ◽  
Vol 14 (2) ◽  
pp. 373-377 ◽  
Author(s):  
K. Nasu ◽  
T. Ueda ◽  
S. Kai ◽  
H. Anai ◽  
Y. Kimura ◽  
...  


2012 ◽  
Vol 16 (2) ◽  
pp. 158-161 ◽  
Author(s):  
Julio Vázquez ◽  
Mar Pérez-Peña ◽  
Begoña González ◽  
Angel Sánchez


Author(s):  
Toru OGATA ◽  
Jun KAWAMOTO ◽  
Takahiro SANTO ◽  
Mikio HUJIMOTO ◽  
Shiro NAKAI ◽  
...  


2006 ◽  
Vol 39 (3) ◽  
pp. 417-421 ◽  
Author(s):  
Kinya Matsumoto ◽  
Kazuya Odawara ◽  
Tsuyoshi Toyota ◽  
Hideo Watanabe ◽  
Fumiki Kushihata


2010 ◽  
Vol 26 (3) ◽  
pp. 387-389 ◽  
Author(s):  
José Humberto Tavares Guerreiro Fregnani ◽  
Antônio Talvane Torres de Oliveira ◽  
Vinícius de Lima Vazquez ◽  
Cristiano Ribeiro Viana ◽  
Adhemar Longatto-Filho ◽  
...  


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