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