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Gastrointestinal Stromal Tumor of the Rectum: An Analysis of Seven Cases

Surgery Today volume 37, pages 455–459 (2007)Cite this article

Abstract

Purpose

Gastrointestinal stromal tumors (GISTs) rarely originate in the rectum. We investigated the clinicopathologic characteristics of rectal GISTs.

Methods

We analyzed the medical records of seven patients who underwent surgery for GIST of the rectum between 1998 and 2003.

Results

There were two men and five women with a median age of 55 years (range, 41–72 years) at the time of diagnosis. The median follow-up period was 23 months (range, 7–75 months). The chief symptoms were hematochezia, constipation, and anal pain. All patients underwent curative resection; in the form of abdominoperineal resection in five patients, transanal excision in one, and Hartmann's operation with prostatectomy in one. The median tumor size was 6.6 cm (range, 1–12 cm). Four patients received adjuvant radiation therapy. Local recurrence developed in two patients; 54 months and 23 months after surgery, respectively.

Conclusion

The common symptoms of rectal GIST were the same as those of other rectal tumors. Curative surgical resection should be done, but further studies are necessary to investigate better adjuvant treatment strategies for patients with rectal GISTs

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Affiliations

  1. Department of Surgery, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-ku, 120-752, Seoul, South Korea

    Seung Hyuk Baik, Nam Kyu Kim, Chung Ho Lee, Kang Young Lee, Seung Kook Sohn & Chang Hwan Cho

  2. Department of Pathology, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-ku, 120-752, Seoul, South Korea

    Hoguen Kim

  3. Department of Pathology, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-ku, 120-752, Seoul, South Korea

    Sun Young Rha & Hyun Cheol Chung

  4. National Cancer Center, Proton Therapy Center, Ilsan, South Korea

    Hong Ryull Pyo

Authors
  1. Seung Hyuk Baik
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  2. Nam Kyu Kim
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Baik, S., Kim, N., Lee, C. et al. Gastrointestinal Stromal Tumor of the Rectum: An Analysis of Seven Cases. Surg Today 37, 455–459 (2007). https://doi.org/10.1007/s00595-006-3424-1

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  • DOI: https://doi.org/10.1007/s00595-006-3424-1

Key words

  • Gastrointestinal stromal tumor
  • Rectum
  • Clinicopathologic characteristics
  • Submucosal tumor