Gastric Gastrointestinal Stromal Tumor with Repeated Recurrence at the Anastomosis Site in a Very Elderly Patient
10.4166/kjg.2020.76.4.206
- Author:
Hye-Jin KIM
1
;
Jae Yong PARK
;
Beom Jin KIM
;
Jae Gyu KIM
;
Hee Sung KIM
;
Joong-Min PARK
Author Information
1. Department of Internal Medicine, Pathology, Chung-Ang University College of Medicine, Seoul, Korea
- Publication Type:CASE REPORT
- From:The Korean Journal of Gastroenterology
2020;76(4):206-210
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although high-risk gastrointestinal stromal tumors (GISTs) frequently recur, even after a complete resection and imatinib therapy, local recurrence at the suture line after complete resection is rare. The present case was an 88-year-old woman who was initially diagnosed with high-risk GIST without a distant metastasis. She underwent a complete surgical resection of the lesion and received adjuvant imatinib therapy for 18 months, which was discontinued due to severe drug-induced anemia. During the follow-up, an endoscopic examination performed 40 months after the initial surgery revealed local recurrence at the anastomosis site. Although a complete surgical resection was performed, repeated local recurrence was detected 18 months later, which progressed rapidly to metastatic disease. This paper reports a case of a completely resected gastric GIST with repeated local recurrence, despite the complete surgical resections and adjuvant imatinib therapy.
