Gastrointestinal stromal tumor chest x ray: Difference between revisions

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==Abdominal X-ray==
==Abdominal X-ray==
*Abdominal [[X rays|X ray]] is not routinely indicated in patients of gastrointestinal stromal tumor (GIST) as their findings are quite non-specific. However, they may be indicated in patients who present with severe [[abdominal pain]] indicating [[intestinal obstruction]] or [[Intestinal perforation|perforation]]. Findings on an abdominal X ray include:<ref name="pmid9278378">{{cite journal |vauthors=Shojaku H, Futatsuya R, Seto H, Tajika S, Matsunou H |title=Malignant gastrointestinal stromal tumor of the small intestine: radiologic-pathologic correlation |journal=Radiat Med |volume=15 |issue=3 |pages=189–92 |year=1997 |pmid=9278378 |doi= |url=}}</ref>
*Abdominal [[X rays|X ray]] is not routinely indicated in patients of gastrointestinal stromal tumor (GIST) as their findings are quite non-specific. However, they may be indicated in [[Patient|patients]] who present with severe [[abdominal pain]] indicating [[intestinal obstruction]] or [[Intestinal perforation|perforation]]. Findings on an [[abdominal]] [[X-rays|X ray]] include:<ref name="pmid9278378">{{cite journal |vauthors=Shojaku H, Futatsuya R, Seto H, Tajika S, Matsunou H |title=Malignant gastrointestinal stromal tumor of the small intestine: radiologic-pathologic correlation |journal=Radiat Med |volume=15 |issue=3 |pages=189–92 |year=1997 |pmid=9278378 |doi= |url=}}</ref>
**GIST can appear as large, [[soft tissue]] density displacing [[Intestine|bowel]] loops
**GIST can appear as large, [[soft tissue]] density displacing [[Intestine|bowel]] loops
**Dilated loops of [[bowel]]
**Dilated loops of [[bowel]]
**Air-fluid level ([[intestinal obstruction]])
**Air fluid level ([[intestinal obstruction]])
**Air under diaphragm ([[bowel perforation]])
**Air under [[Diaphragm (anatomy)|diaphragm]] ([[bowel perforation]])


*Other than the plain abdominal [[X ray]], patients who develop symptoms can also be evaluated with a barium x-ray ([[Upper GI series|upper]] and [[Lower gastrointestinal series|lower GI series]]). Patients with [[dysphagia]] are evaluated with [[Esophagogram|barium esophagogram]] and patients with [[constipation]] are evaluated with [[barium enema]]. Findings on [[Upper GI series|upper]] and [[lower GI series]] include:<ref name="pmid19651058">{{cite journal |vauthors=Cheung MC, Zhuge Y, Yang R, Koniaris LG |title=Disappearance of racial disparities in gastrointestinal stromal tumor outcomes |journal=J. Am. Coll. Surg. |volume=209 |issue=1 |pages=7–16 |year=2009 |pmid=19651058 |doi=10.1016/j.jamcollsurg.2009.03.018 |url=}}</ref>
*Other than the plain [[abdominal]] [[X ray]], patients who develop [[Symptom|symptoms]] can also be evaluated with a [[barium]] [[X-rays|x-ray]] ([[Upper GI series|upper]] and [[Lower gastrointestinal series|lower GI series]]). [[Patient|Patients]] with [[dysphagia]] are evaluated with [[Esophagogram|barium esophagogram]] and [[Patient|patients]] with [[constipation]] are evaluated with [[barium enema]]. Findings on [[Upper GI series|upper]] and [[lower GI series]] include:<ref name="pmid19651058">{{cite journal |vauthors=Cheung MC, Zhuge Y, Yang R, Koniaris LG |title=Disappearance of racial disparities in gastrointestinal stromal tumor outcomes |journal=J. Am. Coll. Surg. |volume=209 |issue=1 |pages=7–16 |year=2009 |pmid=19651058 |doi=10.1016/j.jamcollsurg.2009.03.018 |url=}}</ref>
**GISTs appear as an elevated and sharply demarcated filling defect.
**GISTs appear as an elevated and sharply demarcated filling defect.
**Smooth contour of overlying [[mucosa]] unless complicated by an [[ulceration]].
**Smooth contour of overlying [[mucosa]] unless complicated by an [[ulceration]].

Latest revision as of 04:04, 4 March 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]

Overview

Abdominal X ray is not routinely indicated in patients of gastrointestinal stromal tumor (GIST) as their findings are quite non-specific. However, they may be indicated in patients who present with severe abdominal pain indicating intestinal obstruction or perforation. On an abdominal X-ray, GIST appears as a large, soft tissue density displacing bowel loops. Depending upon the severity of the condition, signs of intestinal obstruction such as multiple air-fluid levels may be present.

Abdominal X-ray

References

  1. Shojaku H, Futatsuya R, Seto H, Tajika S, Matsunou H (1997). "Malignant gastrointestinal stromal tumor of the small intestine: radiologic-pathologic correlation". Radiat Med. 15 (3): 189–92. PMID 9278378.
  2. Cheung MC, Zhuge Y, Yang R, Koniaris LG (2009). "Disappearance of racial disparities in gastrointestinal stromal tumor outcomes". J. Am. Coll. Surg. 209 (1): 7–16. doi:10.1016/j.jamcollsurg.2009.03.018. PMID 19651058.


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