Radiology Case Reports (Apr 2024)

Malignant rectal GIST managed with chemotherapy (Imatinib Mesylate): A case report and a comprehensive review

  • Amrit Bhusal,
  • Suraj KC,
  • Tek Nath Yogi,
  • Rakesh Kumar Gupta,
  • Abhijeet Kumar,
  • Bhawani Khanal,
  • Shailendra Katwal,
  • Durga Neupane,
  • Samikshya Lamichhane,
  • Ranjan Bhagat

Journal volume & issue
Vol. 19, no. 4
pp. 1424 – 1431

Abstract

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Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors involving the gastrointestinal tract, arising from the interstitial cells of Cajal. GIST comprises about 1% of all GI tumors. Rectal GISTs are rare and comprise of approximately 5% of all GISTs and only 0.1% of rectal tumors are found to be GISTs. Rectal GISTs may be diagnosed incidentally or present with symptoms, including defecation problems, bleeding, and/or pain. We report a case of a 46-year-old male with rectal GIST metastasized to the liver and bilateral lung parenchyma managed by Imatinib Mesylate (IM) regimen. Rectal GIST although being rare, must be considered as a differential diagnosis in a patient presenting with defecatory problems with bleeding.

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