title: Gastrointestinal stromal tumour presenting as palpable abdominal mass: A rare entity.
abstract: Gastrointestinal stromal tumours (GISTs) are the most common mesenchymal tumour of gastro-intestinal tract. Annual incidence of GIST in United States is approximately 3000-4000. Clinical presentation of GIST varies with location and size of tumour but GIST presenting with palpable abdominal mass is rare. We report a case of 38 years old male who presented with large abdominal lump. Computed tomography (CT) scan showed a large solid-cystic lesion encasing second part of duodenum and distal common bile duct. On CT differential diagnosis of Leiomyoma, Leiomyosarcoma and GIST were made. The diagnosis of GIST was confirmed by immune-histochemical study of the biopsy material. Patient underwent pancreaticodudenectomy. Post-operative course was uneventful. Patient was started on Imatinib therapy post-operatively. No recurrence noted at six months follow up.
authors.affiliation: Manoj R Bhambare, Jayashri S Pandya, Sudatta B Waghmare, Tilakdas S Shetty, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Hospital, Mumbai 400008, India.
authors.forename: Manoj R
authors.initials: MR
authors.lastname: Bhambare
authors.affiliation: Manoj R Bhambare, Jayashri S Pandya, Sudatta B Waghmare, Tilakdas S Shetty, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Hospital, Mumbai 400008, India.
authors.forename: Jayashri S
authors.initials: JS
authors.lastname: Pandya
authors.affiliation: Manoj R Bhambare, Jayashri S Pandya, Sudatta B Waghmare, Tilakdas S Shetty, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Hospital, Mumbai 400008, India.
authors.forename: Sudatta B
authors.initials: SB
authors.lastname: Waghmare
authors.affiliation: Manoj R Bhambare, Jayashri S Pandya, Sudatta B Waghmare, Tilakdas S Shetty, Department of General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Hospital, Mumbai 400008, India.
authors.forename: Tilakdas S
authors.initials: TS
authors.lastname: Shetty
keywords: Abdominal mass; Gastrointestinal stromal tumours; Imatinib; Pancreaticoduodenectomy