Transvaginal Excision of Rectal Gastrointestinal Stromal Tumor: A Safe Minimally Invasive Approach

Introduction: Gastrointestinal stromal tumors (GISTs), the specific kit-positive mesenchymal tumors, are rarely found in the anorectum and account for 5% of all GIST cases. Surgical excision remains the main treatment for anorectal GIST. The available techniques include enucleation transanal excisio...

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Autores principales:	Hadiel Kaiyasah, Hana Fardan, Labib Al Ozaibi
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	rectal gastrointestinal stromal tumor transvaginal excision abdominoperineal resection local resection colonoscopy mri pelvis Medicine R
Acceso en línea:	https://doaj.org/article/1d047961a5fc43708b1e18e683e340d4
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spelling	oai:doaj.org-article:1d047961a5fc43708b1e18e683e340d42021-12-02T12:40:24ZTransvaginal Excision of Rectal Gastrointestinal Stromal Tumor: A Safe Minimally Invasive Approach2571-726X10.1159/000520130https://doaj.org/article/1d047961a5fc43708b1e18e683e340d42021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/520130https://doaj.org/toc/2571-726XIntroduction: Gastrointestinal stromal tumors (GISTs), the specific kit-positive mesenchymal tumors, are rarely found in the anorectum and account for 5% of all GIST cases. Surgical excision remains the main treatment for anorectal GIST. The available techniques include enucleation transanal excision or sometimes an abdominoperineal resection for large or low tumors. Case Study: We present a middle-aged female with a complaint of intermittent rectal pain for 1 year. Diagnostic workup detected a mass in the rectovaginal septum. A transvaginal excision was performed. Final histopathology showed rectal GIST. On regular follow-up visits, there was no detectable recurrence, and her anal pain disappeared completely. Discussion: Colorectal GIST accounts for only 0.1% of all colorectal tumors; this infrequency has led to a controversy in its diagnosis and management. Nevertheless, surgery remains a cornerstone element in the management of rectal GISTs. Different resection methods have been described in the literature, ranging from less-invasive approach such as transanal excision to a more radical one like an abdominoperineal resection. As there is no standard approach, choosing which one to perform depends on the tumor size, its location, and the surgeon’s preference. Conclusion: Transvaginal excision could be considered a safe minimally invasive approach for low-lying rectal GISTs.Hadiel KaiyasahHana FardanLabib Al OzaibiKarger Publishersarticlerectal gastrointestinal stromal tumortransvaginal excisionabdominoperineal resectionlocal resectioncolonoscopymri pelvisMedicineRENDubai Medical Journal, Pp 1-4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	rectal gastrointestinal stromal tumor transvaginal excision abdominoperineal resection local resection colonoscopy mri pelvis Medicine R
spellingShingle	rectal gastrointestinal stromal tumor transvaginal excision abdominoperineal resection local resection colonoscopy mri pelvis Medicine R Hadiel Kaiyasah Hana Fardan Labib Al Ozaibi Transvaginal Excision of Rectal Gastrointestinal Stromal Tumor: A Safe Minimally Invasive Approach
description	Introduction: Gastrointestinal stromal tumors (GISTs), the specific kit-positive mesenchymal tumors, are rarely found in the anorectum and account for 5% of all GIST cases. Surgical excision remains the main treatment for anorectal GIST. The available techniques include enucleation transanal excision or sometimes an abdominoperineal resection for large or low tumors. Case Study: We present a middle-aged female with a complaint of intermittent rectal pain for 1 year. Diagnostic workup detected a mass in the rectovaginal septum. A transvaginal excision was performed. Final histopathology showed rectal GIST. On regular follow-up visits, there was no detectable recurrence, and her anal pain disappeared completely. Discussion: Colorectal GIST accounts for only 0.1% of all colorectal tumors; this infrequency has led to a controversy in its diagnosis and management. Nevertheless, surgery remains a cornerstone element in the management of rectal GISTs. Different resection methods have been described in the literature, ranging from less-invasive approach such as transanal excision to a more radical one like an abdominoperineal resection. As there is no standard approach, choosing which one to perform depends on the tumor size, its location, and the surgeon’s preference. Conclusion: Transvaginal excision could be considered a safe minimally invasive approach for low-lying rectal GISTs.
format	article
author	Hadiel Kaiyasah Hana Fardan Labib Al Ozaibi
author_facet	Hadiel Kaiyasah Hana Fardan Labib Al Ozaibi
author_sort	Hadiel Kaiyasah
title	Transvaginal Excision of Rectal Gastrointestinal Stromal Tumor: A Safe Minimally Invasive Approach
title_short	Transvaginal Excision of Rectal Gastrointestinal Stromal Tumor: A Safe Minimally Invasive Approach
title_full	Transvaginal Excision of Rectal Gastrointestinal Stromal Tumor: A Safe Minimally Invasive Approach
title_fullStr	Transvaginal Excision of Rectal Gastrointestinal Stromal Tumor: A Safe Minimally Invasive Approach
title_full_unstemmed	Transvaginal Excision of Rectal Gastrointestinal Stromal Tumor: A Safe Minimally Invasive Approach
title_sort	transvaginal excision of rectal gastrointestinal stromal tumor: a safe minimally invasive approach
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/1d047961a5fc43708b1e18e683e340d4
work_keys_str_mv	AT hadielkaiyasah transvaginalexcisionofrectalgastrointestinalstromaltumorasafeminimallyinvasiveapproach AT hanafardan transvaginalexcisionofrectalgastrointestinalstromaltumorasafeminimallyinvasiveapproach AT labibalozaibi transvaginalexcisionofrectalgastrointestinalstromaltumorasafeminimallyinvasiveapproach
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Transvaginal Excision of Rectal Gastrointestinal Stromal Tumor: A Safe Minimally Invasive Approach

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