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Rectal locations are very rare, and minimally invasive surgery is a good choice for the treatment of rectal GISTs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>Two women each had a mass located on the lower vaginal-rectal space as determined by transvaginal ultrasound (TV-US), pelvis MR imaging, and colonoscopy. The patients successfully underwent transvaginal excision. The spindle-shaped cells were found in pathological test. The immunohistochemical analysis showed that CD117 and Dog-1 were stained positively. These results confirmed the masses as GISTs. The postoperative period was uneventful without anal dysfunction. Two patients were received adjuvant treatment with imatinib after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Transvaginal excision could be a minimally invasive and safe alternative treatment in the management of rectal GISTs in lower locations.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12957-019-1703-8","type":"journal-article","created":{"date-parts":[[2019,10,6]],"date-time":"2019-10-06T04:02:29Z","timestamp":1570334549000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Transvaginal excision of rectal stromal tumors: case reports and a literature review"],"prefix":"10.1186","volume":"17","author":[{"given":"Wang","family":"Shizhuo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Liuyuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ni","family":"Sha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Xueting","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luan","family":"Nannan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma","family":"Xiaoxin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,10,6]]},"reference":[{"issue":"9","key":"1703_CR1","doi-asserted-by":"publisher","first-page":"1121","DOI":"10.1097\/00000478-200109000-00002","volume":"25","author":"M Miettinen","year":"2001","unstructured":"Miettinen M, Furlong M, Sarlomo-Rikala M, Burke A, Sobin LH, Lasota J. 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