Q) Antral GIST 1cm incidentally found on UGIE. True regarding its management
a) Surgical resection
b) Endoscopic resection
c) Resection required if EUS suggests irregular border with cystic spaces
d) Endoscopic surveillance, if size >2cm then resect
Ans
c
GIST more than 2 cm should undergo resection. Management of GIST less than 2 cm is dependent on weather high risk features are present on EUS.
The high risk features are
1. Irrgeular margins
2. Heterogenous architecture
3. Ulcers
Management of low risk GIST less than 2 cm is surveillance every 6 months