title: Thick calcification from a GIST of the stomach penetrating into pericolic soft tissue--report of a case.
abstract: Thick calcification is a rare presentation of gastrointestinal stromal tumor (GIST). Penetration into gastric mucosa and pericolic soft tissue has never been reported. We report a case of gastric GIST with cystic degeneration and thick calcification in an 81-year old female, who presented with hematemesis and severe abdominal pain. Thick calcification of this tumor penetrating into pericolic soft tissue was noted and successfully treated by distal gastrectomy and partial colectomy. For gastrointestinal tumors with thick calcification, even with benign behavior, surgical intervention should be considered for both oncological considerations and prevention of catastrophes like perforation or penetration into surrounding soft tissue.
authors.affiliation: Department of Surgery, Taichung Veterans General Hospital, No 160, Sec 3, Taichung-Kang Rd, Taichung 40705, Taiwan. jefferyu@gmail.com
authors.forename: Cheng-Chan
authors.initials: CC
authors.lastname: Yu
authors.forename: Cheng-Chung
authors.initials: CC
authors.lastname: Wu
authors.forename: Jen-I
authors.initials: JI
authors.lastname: Hwang
authors.forename: John
authors.initials: J
authors.lastname: Wang
authors.forename: Chi-Sen
authors.initials: CS
authors.lastname: Chang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002114:Calcinosis / Q000145:classification / Q000473:pathology*; D003082:Colectomy; D005260:Female; D005743:Gastrectomy; D046152:Gastrointestinal Stromal Tumors / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed