Gastric Stromal Tumour presenting as Upper Gastrointestinal Bleed

摘要

Gastrointestinal stromal tumours (GISTs) are tumours arising in the gastrointestinal (GI) tract. GISTs are rare and constitute only about 1% of all gastrointestinal (GI) malignant tumours; nevertheless, they are the most common mesenchymal neoplasm of the GI tract [1]. GISTs are found in the stomach in 50-70% of cases, yet they are least prevalent malignant tumour of the stomach, constituting only 1-3% of all gastric malignant tumours [2]. These tumours originate from the Interstitial Cell of Cajal [3]. Mitotic rate over 5 per 50 high-power fields (HPF's), or more than 5 cm in size are predictive of malignancy (75% positive prediction) [4]. We report a case of benign spindle cell gastric stromal tumour presenting with acute upper GI bleed and managed successfully by resection.