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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.


Port chest- no image findings submitted
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MPX1857_synpic19235: Port chest- no image findings submitted


Gastrointestinal stromal tumor, high grade.

USU Teaching File MUTF - MedPix

Port chest- no image findings submitted
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1857_synpic19235: Port chest- no image findings submitted

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.