Volume 28, Issue 149, July 2024

A GIST tumor mimicking an ovarian tumor diagnosed intraoperatively: A 50-years-old woman case study

Anna Józefiak¹, Magdalena Szczepanik², Gabriela Mazurek³, Maciej Horbaczewski⁴, Przemysław Hałasiński^5♦, Dominika Kropidłowska⁶, Maria Myślicka⁷, Jolanta Mazurek⁸, Kinga Piela⁹, Cezary Bochyński¹⁰, Patryk Góralski¹¹, Olgierd Betcher¹², Ruslan Zavatskyi¹³

¹Department of Internal Diseases and Endocrinology, Gabriel Narutowicz Municipal Specialist Hospital in Cracow, Prądnicka 35-37, 31-202 Cracow, Poland
²Department of Pediatrics, District Hospital in Chrzanów, Topolowa 16, 32-500 Chrzanów, Poland
³Department of Cardiology and Internal Diseases, Gabriel Narutowicz Municipal Specialist Hospital in Cracow, Prądnicka 35-37, 31-202 Cracow, Poland
⁴Hospital Emergency Department, District Health Center Kartuzy, Floriana Ceynowy 7, 83-300 Kartuzy, Poland
⁵Clinical Department of Gastroenterology, Metabolic, Internal Diseases and Dietetics, University Clinical Hospital in Poznań, 49 Przybyszewskiego, 60-355 Poznań, Poland
⁶Polish Red Cross Maritime Hospital in Gdynia, Powstania Styczniowego 1, 81-519 Gdynia, Poland
⁷Wrocław Medical University, wyb. Ludwika Pasteura 1, 50-367 Wrocław, Poland
⁸Primary Health Care, Private Health Care Facility "ALMUS" Jacek Pieniazek, Białoboki 137, 37-207 Gać, Poland
⁹Hospital Emergency Department, University Clinical Hospital. Fryderyk Chopin in Rzeszów, Fryderyka Szopena 2, 35-055 Rzeszów, Poland
¹⁰Department of Internal Medicine, Railway Hospital. Włodzimierz Roefler, MD, PhD in Pruszków, Warsztatowa 1, 05-800 Pruszków, Poland
¹¹University Clinical Center in Gdańsk, Dębinki 7, 80-952 Gdańsk, Poland
¹²Provincial Specialist Hospital named after The Blessed Virgin Mary in Częstochowa, Bialska 104/118, Częstochowa, 42-200, Poland
¹³Department of General Surgery, Clinical Provincial Hospital No. 2 Saint Jadwiga Queen in Rzeszów, Lwowska 60, 35-301 Rzeszów, Poland

^♦Corresponding Author
Clinical Department of Gastroenterology, Metabolic, Internal Diseases and Dietetics, University Clinical Hospital in Poznań, 49 Przybyszewskiego, 60-355 Poznań, Poland

ABSTRACT

Introduction: Neoplastic growths involving women's genital organs, such as uterine myomas and ovarian tumors, are the most common benign lesions occurring in the mid-and lower abdominal regions. Large size of neoplastic growths can lead to the masking of other cancerous and non-cancerous processes taking place in the abdominal cavity. The Aim: This work aims to show the diagnostic difficulties of tumors in the abdomen and pelvis. Case Report: This paper presents a 50-year-old patient in whom a massive tumor was found in the retroperitoneal space at the level of the jejunum during gynecologic surgery for excision of a left ovarian cancer. After diagnosis, the tumor turned out to be a subserosal neoplasm. Results: When a solid mass is present in the pelvic region, especially if there are other unusual symptoms, the possibility of lesions of nongynecological origin should be considered. During surgery, every effort should be made to identify the tumor's origin and associated anatomical structures. Conclusions: For GIST tumors, complete removal of the cancer should be sought, as only surgery increases the chance of long-term survival.

Keywords: Ovarian cancer, subcutaneous neoplasm, GIST

Medical Science, 2024, 28, e74ms3385

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DOI: https://doi.org/10.54905/disssi.v28i149.e74ms3385

Published: 15 July 2024