ENORMOUS ABDOMINAL TUMOR

M. Moujahid*, V. A. Blata, I. Talbi, Y. Mehdahoui, A. Laalou, R. Chouiba, F. Mohafid, M. Laaroussi, N. Njoumi, M. Najih, M. Yaka, H. Laraqui, A. Ehirchiou and A. Zentar

ABSTRACT

Introduction: Digestive stromal tumors are mesenchymal tumors developed from Cajal cells. Gastric localization is the most frequent. Extra-digestive and especially mesenteric forms are more rare: less than 5% of all digestive stromal tumors. Patients and methods: 27 years-old, admitted to the service following the appearance of an abdominal mass progressively increasing in volume, occupying the whole abdomen about 28 cm long. Results: operated by a median laparotomy ,an enormous mass occupying the entire abdominal frame at the expense of the mesentery was removed. the anatomopathological report concluded on a enormous stromal mass of the mesentere. The immuno-histochemical study showed expression for CD117 and CD34. The patient was treated with imatinib (Glivec) for six months with good tolerance. There was no evidence of recurrence on a five-year of the follow-up. Conclusion: Rare tumor revealed by an enormous mass occupying all the belly,we report a case of giant stromal tumor of the mesentery colligead in the general surgery service.

Keywords: Gastrointestinal stromal tumors,C-kit,Cells of Cajal,STI 571,Diagnosis and Treatment.