Gastrointestinal Tumour of Ascending Colon: A Rare Case Report

38 YEAR OLD FEMALE PRESENTED WITH LUMP IN RIGHT HYPOCHONDRIUM TO RIGHT LUMBAR REGION. HER CECT (ABDO+PELVIS) WAS SUGGESTIVE OF WELL DEFINED INTRAPERITONEAL SPACE OCCUPYING LESION IN THE RIGHT LUMBAR AND RIGHT INFRALUMBAR REGION MEASURING 14.4*9.5cm WITH THE LESION ABUTTING ILEO-CAECAL JUNCTION AND ASCENDING COLON WITHOUT ITS ENCASEMENTOMENTAL SARCOMA. HER TRUCUT BIOPSY REPORT WAS SPINDLE CELL TUMOR. SO PREOPERATIVE DIAGNOSIS WAS MADE OF SPINDLE CELL TUMOUR OF ASCENDING COLON. ON EXPLORATORY LAPRATOMY, SHE WAS FOUND TO HAVE 15*9.5 CM MASS INVOLVING THE DISTAL ILEUM AND ASCENDING COLON WITH NO INTRALUMINAL COMPONENT. SHE WAS OPERATED FOR RIGHT HEMICOLECTOMY WITH ILEAL-TRANVERSE COLON ANASTOMOSIS. HER POSTOPERATIVE PERIOD WAS UNCONVENTIONAL. HISTOPATHOLOGICAL REPORT SUGGESTIVE OF SPINDLE CELL GASTROINTESTINAL TUMOUR OF ASCENDING COLON. HER IMMUNOCHEMISTRY WAS NEGATIVE FOR C-KIT 117. ONE MONTH POST SURGERY PATIENT IS HEALTHY WITHOUT ANY EVIDENCE OF METASTASIS.