Woman 54 yo general check-up by abdominal ultrasound detected one mass at left upper abdominal area(US 1: longitudinal scanning of spleen and tumor).
US2: tumor and left kidney, longitudinal scanning.
US 3: cross-sectional scanning, tumor inner of left kidney.
Gastroscopy is normal.
MSCT scan with CE: CT 1tumor nearby great curvature of stomach, CT2:tumor near pancreas and stomach.
Report of radiologist is retroperitoneum tumor.
MRI made clear relationof tumor and left adrenal gland..( MRI 1), MRI 2tumor is near gastric border.
Laparoscopic detected this tumor came from the wall of great curvature of stomach(laparostomy image).
Macroscopic tumor is solid structure.
Microscopic report is GIST tumor with potential median malignancy.
Conclusion: difficulty in pre- op diagnosis one exophytic pedunculated gastric GIST tumor