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

the GASTROLAB Home Page
the Quiz Page

Question:

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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
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.

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!

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So, please email Your images here

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