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KMID : 0614620200760040206
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Korean Journal of Gastroenterology
2020 Volume.76 No. 4 p.206 ~ p.210
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Gastric Gastrointestinal Stromal Tumor with Repeated Recurrence at the Anastomosis Site in a Very Elderly Patient
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Kim Hye-Jin
Park Jae-Yong
Kim Beom-Jin
Kim Jae-Gyu
Kim Hee-Sung
Park Joong-Min
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Abstract
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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.
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KEYWORD
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Gastrointestinal stromal tumors, Surgery, Imatinib mesylate, Recurrence
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