Case Report

Giant Gastrointestinal Stromal Tumor Presenting as a Palpable Abdominal Mass: An Unusual Presentation

Table 2

Risk stratification of primary gastrointestinal stromal tumors for aggressive behavior based on tumor size, site, and mitotic index [24].

Tumor parametersRisk for progressive disease (%), based on site of origin
Mitotic rateSize Stomach Jejunum/Ileum DuodenumRectum

≤5 per 50 HPF
≤2 cm None (0%) None (0%) None (0%) None (0%)
>2, ≤5 cm Very low (1.9%) Low (4.3%) Low (8.3%) Low (8.5%)
>5, ≤10 cm Low (3.6%) Moderate (24%) Insufficient data Insufficient data
>10 cm Moderate (10%) High (52%) High (34%) High (57%)

>5 per 50 HPF
≤2 cm None High Insufficient data High (54%)
>2, ≤5 cm Moderate (16%) High (73%) High (50%) High (52%)
>5, ≤10 cm High (55%) High (85%) Insufficient data Insufficient data
>10 cm High (86%) High (90%) High (86%) High (71%)

HPF: high-power field.