title: Gastrointestinal Stromal Tumour in a Patient with Multiple Cutaneous and Uterine Leiomyomatosis- Implications and Anaesthetic Management.
abstract: Multiple cutaneous leiomyomatosis have been associated with uterine leiomyomatosis and known as Reed's syndrome or Multiple Cutaneous and Uterine Leiomyomatosis (MCUL). Gastrointestinal Stromal Tumours (GIST) have been reported to be associated with this syndrome only once previously in literature to the best of our knowledge. Here we report a rare case of GIST and multiple uterine leiomyomatosis in a middle aged patient with longstanding cutaneous leiomyomatosis who underwent GIST excision and hysterectomy. A 35 year old female patient with multiple cutaneous leiomyomatosis for the past 20 years was diagnosed to have gastrointestinal stromal tumour and multiple uterine leiomyomatosis for which she underwent laparotomy for GIST excision and hysterectomy. In the report we have elaborated the clinical and pathological observations as well as the anaesthetic management. This case report further substantiates the association of GIST with multiple cutaneous and uterine leiomyomatosis and also reminds us that cutaneous lesions can be clues to the diagnosis of underlying malignancy.
authors.affiliation: Department of Anaesthesiology and IntensiveCare, All India Institute of Medical Sciences, Room no- 5011, 5'th floor, Main AIIMS Building, Ansari nagar, New Delhi, 110029 India.
authors.forename: Ejas P
authors.initials: EP
authors.lastname: Bava
authors.affiliation: Department of Anaesthesiology and IntensiveCare, All India Institute of Medical Sciences, Room no- 5011, 5'th floor, Main AIIMS Building, Ansari nagar, New Delhi, 110029 India.
authors.forename: Ankur
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Department of Surgery, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Sunil
authors.initials: S
authors.lastname: Chumber
authors.affiliation: Department of Anaesthesiology and IntensiveCare, All India Institute of Medical Sciences, Room no- 5011, 5'th floor, Main AIIMS Building, Ansari nagar, New Delhi, 110029 India.
authors.forename: Rahul Kumar
authors.initials: RK
authors.lastname: Anand
keywords: Gastrointestinal stromal tumours; Laparotomy; Multiple cutaneous and uterine leiomyomatosis