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Primary Adrenal Gastrointestinal Stromal Tumor (GIST): a Rarest Incidentaloma and Diagnostic Challenge

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Gastrointestinal stromal tumors (GISTs), although the commonest mesenchymal tumor of the gastrointestinal tract (GIT), are rare, accounting for < 1% of all malignancies of the GIT [1]. It is seen… Click to show full abstract

Gastrointestinal stromal tumors (GISTs), although the commonest mesenchymal tumor of the gastrointestinal tract (GIT), are rare, accounting for < 1% of all malignancies of the GIT [1]. It is seen commonly in older adults with an equal male to female predilection. Apart from the stomach, it is also seen in the jejunum and ileum (30%), duodenum (5%), and colorectum (5%) and rarely in the esophagus and appendix [2]. Extraintestinal GISTs are extremely rare, and to the best of our knowledge, only two cases of primary GIST arising from the adrenal gland have been described in the literature so far. We present here a case of primary left adrenal GIST detected incidentally in a 57-year-old male who underwent left nephrectomy for left nephrolithiasis and hydronephrosis.

Keywords: primary adrenal; adrenal gastrointestinal; gastrointestinal stromal; gist; stromal tumor

Journal Title: Indian Journal of Surgical Oncology
Year Published: 2020

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