2009
DOI: 10.1007/s12029-009-9113-8
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Malignant Appendiceal GIST: Case Report and Review of the Literature

Abstract: One week after initiation of therapy, the patient returned with frank peritonitis necessitating surgery. Abdominal exploration revealed an appendiceal GIST locally invading and perforating adjacent bowel. We describe the complex presentation and course of the case as well as a literature review of the appendiceal GISTs and the current approach to treatment.

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Cited by 22 publications
(20 citation statements)
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“…Three other tumors were found incidentally during surgery for other diseases or at autopsy [5, 7]. One other tumor was associated with acute appendicitis [7], and with a peri-appendiceal abscess for the last case [6]. For our case, the tumor was discovered when the patient presented with an acute peritonitis.…”
Section: Discussionmentioning
confidence: 82%
See 1 more Smart Citation
“…Three other tumors were found incidentally during surgery for other diseases or at autopsy [5, 7]. One other tumor was associated with acute appendicitis [7], and with a peri-appendiceal abscess for the last case [6]. For our case, the tumor was discovered when the patient presented with an acute peritonitis.…”
Section: Discussionmentioning
confidence: 82%
“…Seven of the eight previously reported appendiceal GISTs were spindled, mitotically inactive lesions corresponding to prognostic groups 1 (n = 6) and 2 (n = 1) according to Miettinen and Lasota [4] and were at very low risk (n = 6) and low risk (n = 1) according to the National Institutes of Health consensus criteria [9]. For one case, the size of the tumor, number of mitosis and locally invasive surgical findings clearly confirm the malignant nature of the lesion [6]. …”
Section: Discussionmentioning
confidence: 99%
“…GISTs of the vermiform appendix constitute only 0.1% of all GISTs (1), with only 16 cases reported in the English literature to date (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). The characteristics of these 17 GIST cases (including the present case) are listed in Table I.…”
Section: Discussionmentioning
confidence: 87%
“…Even appendiceal gastrointestinal stromal tumor (GIST) has been uncommonly reported [18][19][20]. GIST may show a protean morphologic appearance and several growth patterns, also mimicking endocrine tumors, and positivity for cytokeratins has been well-described in rare cases [21], rendering the differentials very challenging.…”
Section: Discussionmentioning
confidence: 99%