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The Old Endoscopy Quiz (and Answer) of the Month December 2007

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Question:
Click on the image above to start the slide show!
This old gentleman came to an upper endoscopy as he suddenly had become quite anaemic. He had not experienced any gastrointestinal symptoms but felt a bit weak. These images shows the finding in the lower part of the gastric body. What is this?
Correct answer:
A semimalignant ulcerated gastric GIST (Gastrointestinal Stromal Tumour)

A gastric Gastrointestinal Stromal Tumour (GIST)

A GIST-tumour in the distal small bowel
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Gastrointestinal Stromal Tumour (GIST), a sarcoma (a tumour arising from the connective tissue) of the gastrointestinal tract. GIST is rare, only about 1-3% of all malignant tumours in the gastrointestinal canal are of this kind. About two thirds of these tumours occur in the stomach, one fifth in the small intestine and one tenth in the oesophagus. GISTs are often benign, but larger tumours can cause liver and peritoneal metastases. Bleeding causing anaemia is the main symptom. Nausea, vomiting and weight loss are other common symptoms. Diagnose is most often made by endoscopy and biopsies taken during this examination. Surgical therapy is curative if the disease is not disseminated. These tumours have recently been found to respond very favourably to treatment with Imatinib (Glivec). Tumours formerly called leiomyomas and leiomyosarcomas are considered to be GISTs.
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Correct answers and comments were emailed by
Virendra Parikh,MD, Fort Wayne, USA,, Indiana
Judy, Vancouver, Canada
BURHAN TAM, Esenyurt-İSTANBUL, TÜRKİYE
HAKAN YAPICI, Esenyurt-İSTANBUL, TÜRKİYE
Ho Dang Quy Dung, Ho Chi Minh, Vietnam
yusuf yücel, karabük, Turkiye
Zahreddine Radwan, Beirut, Lebanon
Dr. MAHDI ALJAROUDI, KHOBAR, KSA/ EASTERN PROVINCE
ALTIN CEKODHIMA, TIRANA, ALBANIA
mohsen ahmed, cairo, Egypt
Jordanov, Sofia, Bulgaria
Cheryl Lynch, Erie, USA/PA
Jiøí Tùma, Sternberk, Czech Republic
makbule dündar, izmir, Turkey
saimir xhemali, elbasan, Albania
Magdalena D. Flores, Sparks, NV
Albert J. Chang, Redlands, CA, USA
ABİT DEMİRCİ, Esenyurt-İSTANBUL, TÜRKİYE
AYYAKANNU KUMAR, Brentwood, Essex, UNITED KINGDOM
 The National Public Library in Prishtina, Kosovo ©
Dr.ARBER Veliu, Prishtina, Kosovo
Cevale Karslioglu Sgouros, Istanbul, Turkey
DR.S.CHITRA, CHENNAI, INDIA/TAMILNADU
Fernando Peres, Rio de Janeiro, Brazil
mehmet gök, Kayseri, Turkey
DR IRVIN GABOUREL, BELIZE, BELIZE
Rassiat emmanuel, dijon, France
ELENA IKONOMOVA, PLEVEN, BULGARIA
Dr Sheikh Anwar Abdullah, Kuala Lumpur
Khondker Islam, Chicago, IL, USA
ESIN KABUL, ISTANBUL, TURKEY
Karakoidas Christos, Athens, Greece
BUADZE, MERAB, GEORGIA,, TBILISI
Vandelei Lima, São Sebastião do Paraiso - MG, Brazil
Claudia Iacobescu, Bucharest, Romania
BACCI, BRAGANÇA PAULISTA, SÃO PAULO
Fabrizio Cereatti Gianfranco Fanello, Roma, Italy
Manivel D, Salem, India/Tamilnadu
PARABOLI SILVA , marcio luiz , Sao Jose do Rio Preto, BRAZIL
Kamil Ozdil, İstanbul, Turkey
osman demırkol, mersın, Türkiye
salim kurrimboccus, Birmingham, United Kingdom
Helen Livett, Redditch, United Kingdom
U. Cuartas, Augusta, GA, USA
venkata Pokkunuri, LOS ANGELES, USA
Angelo Termini, Kungälv, Sweden
ziad daoudi, Cleveland, USA
heath heard, st peter, missouri
shagrani, RIYADH, SAUDI ARABIA
Dr.Jaber Badran, Dair Azzour, Syria
harish, Philadelphia, pa, USA
Yankov, Sofia, Bulgaria
umut tiryaki, tekirdağ, Türkiye
MAJID HOSSEINIAN, TEHRAN, IRAN
sharaf karim, naestved, Denmark
Mohamed Mansour,MD, Brooklyn, NY, USA
Comments:
Thank you for your informative site. Well done!
The Best Image Library in the World!
That is what we would like Gastrolab Image Library and Endoscopic Archives to be.
Perhaps We can achieve this together? Many of You have ecxellent endoscopic images just waiting for publication. When published they can be an invaluable resource for young endoscopists and for gastroenterologic education. Images published here can freely be used for noncommercial purposes.
So, please email Your images here
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