Coexistence of gastric cancer and gastric GIST with intra-tu
A gastrointestinal stromal tumor (GIST) is a rare tumor, however, simultaneous development of gastric cancer and gastric Gastrointestinal stromal tumor has been documented more frequently in recent years. Rupture of gastric Gastrointestinal stromal tumors is even rarer and occurred in 7% of all Gastrointestinal stromal tumors. Although ruptured Gastrointestinal stromal tumors might be occasionally difficult to be managed by endoscopy, transcatheter arterial embolization (TAE) was reported to control bleeding from Gastrointestinal stromal tumors effectively.

A 75-year-old woman with dyspnea and systemic edema was diagnosed as the simultaneous occurrence of gastric cancer (histopathologically detected tubular adenocarcinoma pT2N1M0 stage IA) and gastric Gastrointestinal stromal tumor (65?×?92 mm in diameter at the anterior wall of the fornix) with intra-tumor hemorrhage. Perceiving the progress of bleeding from tumor growth and exacerbating anemia, transcatheter arterial embolization of the left gastric artery was performed. Then remission of anemia has been obtained, the patient underwent elective radical surgery.

Simultaneous occurrence of gastric cancer and gastric Gastrointestinal stromal tumor was speculated to be more common. transcatheter arterial embolization for ruptured Gastrointestinal stromal tumors may be effective for hemostasis and reduction of tumor burden, which could facilitate minimally invasive surgery.