Samiullah Bhatti, Dr, Muhammad W Farooka, Prof, Mahmood Ayyaz, Prof. Services Hospital Lahore
Introduction: Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. Surgical (open/laparoscopic) treatment is the only chance of cure for patients with a primary localized GIST.
Materials and Methods: We present our experience of managing gastrointestinal stromal tumors from June 2015 till June 2018.
Results: we treated 6 cases of gastrointestinal stromal tumors from June 2015 till June 2018. 5 (83%) of them were male and 1 (16%) was female. Mean age of the patients was 44.1 Year (range 17-64 years). All of them were located in stomach. Mean size of the tumor was 10.65cm (range 6.5 -14.2 cm). one of them was with >5 mitosis/50 HPF all others were having <5/50 HPF. 4 of them underwent open resection of the tumor while 2 of them underwent laparoscopic resection. No complication occurred per operative or post operatively. All of the patients were given imatinib postoperatively. All of them underwent resection with 2cm resection margin.
Conclusion: Surgical resection remains the treatment of choice and offers the only chance of cure from GIST. The main operative principle is resection of the tumor with negative microscopic margins. Wide resection of the tumor (e.g. 2 cm margin) has not been shown to improve outcomes.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95177
Program Number: P511
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster