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CASE 431: BIG GASTRIC TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Man 44 yo with one month complaining of epigastric distention but normal gastroendoscopy.  
Ultrasound  detected  big epigastric mass,  looked like  left hepatic tumor with size of 15 cm,  central necrosis (US 1, US 2).



MSCT CE represented that this tumors is  nearby  left lobe of liver  and  deplaces  gastric fundus [CT1, CT 2,  CT 3] with central  necrosis.



   
Blood tests with all cancer markers are normal. Wako test is  negative.  
Operation  removed  this big tumor   which came from  gastric wall.




Microscopic is GIST with high malignant potential.  



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