Gastrointestinal stromal tumor physical examination

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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

Common physical examination findings of gastrointestinal stromal tumors (GIST) include abdominal distension and palpable abdominal mass. Patients with severe and longstanding GIST can present with signs of abdominal perforation and signs of peritonitis such as abdominal tenderness, rigidity and guarding. Other findings include those from tumor rupture and blood loss such as low blood pressure, tachycardia, and dyspnea.

Physical Examination

Appearance of the Patient

  • Patients with GIST usually appear tired.

Vital Signs

Skin

  • Jaundice (seen in obstructive duodenal GIST)
  • Pallor (seen with abdominal bleeding)

HEENT

Neck

Abdomen

Extremities

  • Pitting edema of the lower extremities

References

  1. Szanto P, Barbus A, Al Hajjar N, Zaharia T, Manciula D (2007). "Gastric stromal tumor: a rare cause of upper gastrointestinal bleeding". J Gastrointestin Liver Dis. 16 (4): 441–3. PMID 18193130.


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