A Very Case of Synchronous Gastrointestinal Stromal Tumor (GIST) and Primary Hepatocellular Carcinoma

Clinical Image

Austin J Gastroenterol. 2017; 4(4): 1090.

A Very Case of Synchronous Gastrointestinal Stromal Tumor (GIST) and Primary Hepatocellular Carcinoma

Ghulam I¹*, Kagan J¹, Ahmad A¹ and Shao C²

¹Department of Pathology, SUNY Downstate Medical Center, NY

²Department of Pathology, Kings County Hospital Center, NY

*Corresponding author: Ghulam Ilyas, Department of Pathology, SUNY Downstate Medical Center, NY

Received: July 24, 2017; Accepted: August 08, 2017; Published: October 20, 2017

Clinical Image

A 67-year-old man presented to the emergency department with epigastric pain and abdominal distension. He had an unintentional weight loss of 10 lb. over the previous 2 months. Socially he endorsed excessive drinking. Physical exam was positive for right upper quadrant tenderness without rebound tenderness. The laboratory data showed hemoglobin (Hb) 9.4 g/dl (Normal 14-18 g/dl) and an elevated alpha fetu protein to 540 ng/ml (normal range < 8.3 ng/ml). The viral serology was negative for hepatitis B and C.

A CT scan was remarkable for a large right lobe hepatic mass (10 cm) (Figure 1A; Blue arrow) with areas of central necrosis and a calcified stomach wall mass (4 cm). (Figure 1A; Red arrow).

Citation: Ghulam I, Kagan J, Ahmad A and Shao C. A Very Case of Synchronous Gastrointestinal Stromal Tumor (GIST) and Primary Hepatocellular Carcinoma. Austin J Gastroenterol. 2017; 4(4): 1090.