Endoscopic View of Gastrointestinal Stromal tumor (GIST) A palpable abdominal mass is the most frequent presentation but 50% of GISTs are silent until they reach a large size, then causing acute massive hemorrhage into the intestinal tract or peritoneal cavity from tumor rupture. This is the second most common presentation. Other presenting symptoms include nausea, dyspepsia and intestinal obstruction as a result of extrinsic compression
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