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PENINSULAR MALAYSIA EAST COAST GASTROENTEROLOGY AND HEPATOLOGY MEETING Dr Yeong Yeh Lee MD MRCP (UK) MMed Lecturer/Physician Department of Medicine Dec 2007
History and Physical Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OGDS Findings ,[object Object],[object Object],[object Object],[object Object],[object Object]
OGDS Findings
CT Scan Abdomen Findings ,[object Object],[object Object],[object Object],[object Object],[object Object]
CT Scan Findings
Blood results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential? ,[object Object],[object Object],[object Object]
What to do next? ,[object Object],[object Object]
Histology Findings from Distal Gastrectomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Histology Epitheloid cells  Immunochemistry stain with CD 117
Diagnosis ,[object Object],[object Object],[object Object]
Guidelines for predicting behaviour of tumour using size of  tumour and mitotic count/ 50HPF   (Berman  2001 ; Fletcher et al 2002) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Is molecular analysis necessary? ,[object Object]
Management ,[object Object],[object Object],[object Object]
Glivec? ,[object Object]

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Case study of a mass in stomach