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Gastrointestinal stromal tumor, high grade.

USU Teaching File MUTF - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Gastrointestinal stromal tumor, high grade.

History: Patient presents with hematemesis following a several month history of worsening reflux and regurgitation of undigested food. She also reports the sensation of solid food getting stuck in her mid-chest region. Patient reports halitosis but denies dysphagia or odynophagia.

Findings: PA and Lateral- Smoothly marginated, rounded, ~4 cm retrocardiac opacity. Lungs are otherwise clear. CT- Large mass along the distal aspect of the esophagus. There are no clear tissue planes between the mass and the esophagus. It could have been an extrinsic nodal mass.

Ddx: Gastrointestinal stromal tumor, leiomyoma, leiomyosarcoma, and lymphoma.

Exam: General: Well nourished, well developed. HEENT: Trachea midline, normal thyroid, PERRLA. Lungs: Equal breath sounds, no rales, rhonchi, wheezes or rubs. Cardiac: No murmurs, rubs or gallops. Abdomen: Soft, nontender, normal bowel sounds, no organomegaly. Lymphatics: no palpable or enlarged nodes. Extremities: No clubbing, cyanosis, or edema.CBC: 7.8>9.9/30.1<366CHEM7: 143/3.7/102/28/6/0.6<76

No MeSH data available.


Large mass along the distal aspect of the esophagus.  There are no clear tissue planes between the mass and the esophagus.  It could have been an extrinsic nodal mass.
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MPX1857_synpic19234: Large mass along the distal aspect of the esophagus. There are no clear tissue planes between the mass and the esophagus. It could have been an extrinsic nodal mass.


Gastrointestinal stromal tumor, high grade.

USU Teaching File MUTF - MedPix

Large mass along the distal aspect of the esophagus.  There are no clear tissue planes between the mass and the esophagus.  It could have been an extrinsic nodal mass.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1857&req=5

MPX1857_synpic19234: Large mass along the distal aspect of the esophagus. There are no clear tissue planes between the mass and the esophagus. It could have been an extrinsic nodal mass.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Gastrointestinal stromal tumor, high grade.

History: Patient presents with hematemesis following a several month history of worsening reflux and regurgitation of undigested food. She also reports the sensation of solid food getting stuck in her mid-chest region. Patient reports halitosis but denies dysphagia or odynophagia.

Findings: PA and Lateral- Smoothly marginated, rounded, ~4 cm retrocardiac opacity. Lungs are otherwise clear. CT- Large mass along the distal aspect of the esophagus. There are no clear tissue planes between the mass and the esophagus. It could have been an extrinsic nodal mass.

Ddx: Gastrointestinal stromal tumor, leiomyoma, leiomyosarcoma, and lymphoma.

Exam: General: Well nourished, well developed. HEENT: Trachea midline, normal thyroid, PERRLA. Lungs: Equal breath sounds, no rales, rhonchi, wheezes or rubs. Cardiac: No murmurs, rubs or gallops. Abdomen: Soft, nontender, normal bowel sounds, no organomegaly. Lymphatics: no palpable or enlarged nodes. Extremities: No clubbing, cyanosis, or edema.CBC: 7.8>9.9/30.1<366CHEM7: 143/3.7/102/28/6/0.6<76

No MeSH data available.