Robot-assisted laparoscopic excision of a pelvic extragastrointestinal stromal tumor: a case report and literature review

A 61-year-old male presented with long standing urinary frequency and the sensation of incomplete emptying. Computed tomography (CT) revealed a 9.5 cm x 7.9 cm x 6.9 cm pelvic mass behind the bladder and abutting the rectum. The mass was excised using a robotic-assisted laparoscopic approach. Pathol...

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Bibliographic Details
Published inCanadian journal of urology Vol. 18; no. 3; p. 5731
Main Authors Liao, Joshua M, Mayer, Wesley A, Kim, Moses M, Link, Richard E
Format Journal Article
LanguageEnglish
Published Canada 01.06.2011
Subjects
Antigens, CD34 - metabolism
Gastrointestinal Stromal Tumors - diagnostic imaging
Gastrointestinal Stromal Tumors - metabolism
Gastrointestinal Stromal Tumors - surgery
Humans
Laparoscopy - methods
Male
Middle Aged
Pelvic Neoplasms - diagnostic imaging
Pelvic Neoplasms - metabolism
Pelvic Neoplasms - surgery
Proto-Oncogene Proteins c-kit - metabolism
Robotics
S100 Proteins - metabolism
Tomography, X-Ray Computed
Treatment Outcome
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Summary:A 61-year-old male presented with long standing urinary frequency and the sensation of incomplete emptying. Computed tomography (CT) revealed a 9.5 cm x 7.9 cm x 6.9 cm pelvic mass behind the bladder and abutting the rectum. The mass was excised using a robotic-assisted laparoscopic approach. Pathologic examination of the mass demonstrated an extragastrointestinal stromal tumor (EGIST), an extremely rare entity. To the best of our knowledge, this is the first EGIST to be found in the rectovesicular pouch of a male and the first to be resected robotically. Our case adds to the understanding of EGISTs and their possible origin and demonstrates that robotic-assisted resection of large pelvic masses can be safe and potentially curative.
ISSN:1195-9479