Recurring gastrointestinal stromal tumor with splenic metastasis.
10.4174/jkss.2011.81.Suppl1.S25
- Author:
Ho Gun KIM
;
Seong Yeob RYU
;
Jae Kyoon JOO
;
Hyo KANG
;
Jae Hyuk LEE
;
Dong Yi KIM
- Publication Type:Case Report
- Keywords:
Gastrointestinal stromal tumors;
Neoplasm metastasis;
Spleen
- MeSH:
Abdomen;
Cardia;
Follow-Up Studies;
Gastrointestinal Stromal Tumors;
Gastrointestinal Tract;
Humans;
Liver;
Mesentery;
Middle Aged;
Neoplasm Metastasis;
Omentum;
Spleen;
Stomach
- From:Journal of the Korean Surgical Society
2011;81(Suppl 1):S25-S29
- CountryRepublic of Korea
- Language:English
-
Abstract:
Malignant gastrointestinal stromal tumors (GISTs) are rare non-epithelial, mesenchymal neoplasms of the gastrointestinal tract that metastasize or recur in 30% of patients who undergo surgical resection with curative intent. A 59-year-old man visited our hospital for an examination of a palpable mass in the left abdomen. Fourteen months prior to his visit, the patient underwent gastric wedge resection to remove a GIST of the gastric cardia. At the time of surgery, no evidence of metastatic disease was observed and the pathological interpretation was a high-risk GIST. A follow-up computed tomography scan of the abdomen revealed a partially necrotic solid mass (9.8 x 7.6 cm) and enhancing mass in the spleen (2.3 cm). On exploration, multiple masses were found in the liver, greater omentum, and mesentery. Here, we report a case of recurring GIST of the stomach that metastasized to the spleen. To the best of our knowledge, few reports of metastasis to the spleen exist.
