FCS(SA) Final Practice Questions - Fellowship Of The College Of Surgeons Of South Africa Final Examination FCS(SA) Final Exam

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A 58-year-old woman is found to have a 4 cm submucosal lesion in the gastric body on upper endoscopy. Endoscopic ultrasound-guided fine-needle biopsy confirms a Gastrointestinal Stromal Tumour (GIST) positive for CD117 (c-KIT). Staging CT shows no metastatic disease. What is the standard surgical approach?

Total gastrectomy with formal D2 lymph node dissection Wedge resection of the stomach with macroscopic negative (R0) margins without routine lymphadenectomy Endoscopic mucosal capping without surgical excision En-bloc total gastrectomy, splenectomy, and distal pancreatectomy

Correct Answer:

Wedge resection of the stomach with macroscopic negative (R0) margins without routine lymphadenectomy

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