Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with [epigastric pain/early satiety/melena/hematemesis]. Symptoms duration: [duration]. Associated with [weight loss/anemia/fatigue]. No history of [NSAID use/H. pylori infection]. Previous imaging [CT/EUS] reveals a gastric mass measuring [size] cm, located in the [fundus/body/antrum].
Clinical Examination Findings
Abdominal exam: Soft, non-distended. Palpable mass in [epigastrium/LUQ]. No rebound tenderness or guarding. Bowel sounds present. Digital rectal exam: [Negative/Positive for melena]. ECOG performance status: [0-4].
Treatment Protocol
Plan: Surgical resection (wedge resection/gastrectomy) indicated for symptomatic/large GIST. Neoadjuvant/Adjuvant therapy with Imatinib (Tyrosine Kinase Inhibitor) initiated based on [KIT/PDGFRA] mutation status. Monitor for treatment response via serial CT/PET scans.