Radiology Case Reports (2019-05-01)

Large incidental gastrointestinal stromal tumors in a patient presenting with acutely symptomatic nephrolithiasis: A case report

  • Chioma Obinero, BA,
  • Gabriel S. Makar, BS,
  • Jean Sebastien Rowe, MD,
  • Michael S. Makar, BA,
  • Thomas Holdbrook, MD,
  • Alexandre Hageboutros, MD,
  • Francis R. Spitz, MD, FACS,
  • James E. Kovacs, DO

Journal volume & issue
Vol. 14, no. 5
pp. 555 – 560


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ABSTRACT: Gastrointestinal stromal tumors (GISTs) are rare mesenchymal neoplasms, representing approximately 1%-2% of all primary gastrointestinal malignancies. Incidental GISTs are often less than 1 cm when discovered and have been reported predominantly in obese patients undergoing surgery for other medical indications. We present the rare case of a large incidental GIST in a nonobese patient with acutely symptomatic nephrolithiasis. Large GISTs may be treated with neoadjuvant imatinib mesylate to reduce tumor size prior to surgery, though some tumors may experience little change in size despite effective treatment. Treatment response for GISTs can be monitored via imaging studies, such as computed tomography or magnetic resonance imaging, but computed tomography is generally preferred over magnetic resonance imaging. Keywords: Large GIST, Choi criteria, RECIST