Clinical Assessment Limitation in Extragastrointestinal Stromal Tumour of Rectovaginal Septum Diagnosis: A Case Report
https://doi.org/10.47836//mjmhs18.4.31
- Author:
Noor Azura Noor Mohamad
1
;
Kavitha Nagandla
2
;
Nirmala Chandralega Kampan
3
;
Mohamad Nasir Shafiee
3
Author Information
1. Obstetrics and Gynaecology Department, Faculty of Medicine, Universiti Teknologi MARA, 47000 Sungai Buloh, Selangor, Malaysia
2. Obstetrics and Gynaecology Department, International Medical University, 57000 Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia
3. Gynaecologic Oncology Unit, Obstetrics and Gynaecology Department, Hospital Canselor Tuanku Muhriz, 56000 Kuala Lumpur, Malaysia
- Publication Type:Case Reports
- Keywords:
Extragastrointestinal stromal tumour, Rectovaginal septum, Postmenopausal bleeding, Case report
- From:Malaysian Journal of Medicine and Health Sciences
2022;18(No.4):224-226
- CountryMalaysia
- Language:English
-
Abstract:
Extragastrointestinal tumour of rectovaginal septum (rvGIST) is a rare malignancy that affects rectovaginal septum.
We present a case of rvGIST that was initially managed as cervical eGIST based on clinical assessment. A 66-yearold woman presented with postmenopausal bleeding and constipation. Bimanual pelvic examination revealed an
irregular mass occupying the vagina. CT thorax, abdomen and pelvis showed a 9.2 x 10.0 x 14.0 cm pelvic mass
arising from cervix, extending superiorly to involve the uterus. The patient proceeded to undergo total abdominal
hysterectomy, bilateral salpingo-oophorectomy, enucleation of rectovaginal septum mass, rectosigmoidectomy and
permanent colostomy. Intraoperatively, there was a 9 x 7 cm mass arising from rectovaginal septum. Histopathological examination of surgical specimen revealed spindle cell tumour diffusely positive for CD34, CD117 and DOG1.
The final diagnosis was rvGIST. In conclusion, the diagnosis of rvGIST require a combination of clinical assessment
with intraoperative finding and histological assessment of the surgical specimen.
- Full text:11.2022my1319.pdf
