Study of patients suffering from gastrointestinal stromal tumors of stomach and duodenum
Dr. Sanjay Kumar, Dr. Amarjit Kumar Raj, Dr. Utpal Anand, Dr. Rakesh Kumar Singh, Dr. Manish Mandal
Gastro intestinal stromal tumors (GIST) are primary distinctive mesenchymal tumors of the gastro intestinal tract. Early diagnosis is important for better clinical outcome. The objective was to study presentation, age distribution, various diagnostic methods adopted, treatment modalities being used and outcome of gastrointestinal stromal tumors. The present study was done in the Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna. Total 20 cases of the Gastro intestinal stromal tumors from stomach and duodenum were reviewed retrospectively in the present study from January 2015 to December 2017. From the present study and the reported literature it can be concluded that GIST is more a disease of elder age group. CECT abdomen is a good diagnostic modality in detection of GIST with an acceptable risk of missing small lesions (<1cm) which usually carries minimal risk of metastasis. Also carries risk of down staging with small sized peritoneal deposits being missed and being diagnosed intraoperatively. Wide excision with negative margins (2cm from tumor margin) is adequate and treatment of choice for benign tumors.