1964 Ulcus duodeni / 84 Cholecystectomy
Since 14 days before admission tarry stools and epigastric pain without nausea, vomiting or inappetence. No weight gain.
Anaemic patient with some dyspnoe. Tarry stools at finger stalls, othwise no remarkable internistic status.
Microcytic anemia: Hb 5 mg/dl / Hkt 17%, other laboratory unremarkable
EGD: There is a 35mm big smooth spherical submucosal tumor at the posterior transition from the corpus to the antrum. On the tumor is a deep, smooth, definable ulcus with a diameter of 15mm. Currently no bleeding. Initial rinsed off coagel on the ulcus. Some hematin in the stomach
Sonography: The transition from the corpus to the antrum shows a definable 5cm big tumor, which respects the stomach wall.
There is an encapsulated tumor, which can be totally removed through a Stomach-B I-resection.
Operation-Histology: 5,3 cm big GIST with tumour-free resection lines and 3 tumou-free LK. Proliferation marker MIB-1 in 10% relevant to "uncertain malignant potential" GIST according to WHO.