[A Case Survived Long Period after Repeated Operation against the Small Intestinal GIST with Perforation]

Gan To Kagaku Ryoho. 2018 Jan;45(1):145-147.
[Article in Japanese]

Abstract

A patient was 60-year-old man. In March 2011, the small bowel tumor with perforation was found and the partial resection of small intestine was urgently performed. KIT of resected specimen was positive. Then, diagnosis as GIST was defined. Oral administration of imatinib was started, but it was finished in 5 months because of development of the systemic edema. In February 2013, the abdominal CT revealed a tumor of 20 cm in size in the pelvis. Upon laparotomy, we detected the GIST recurrence generated at the region of small intestine anastomosis where manipulated previously, then resected all of tumor and partially small intestine. Afterward, we diagnosed as a recurrence of GIST. In March 2014, the abdominal CT found 4 cm sized mesenteric tumor and 2 cm sized abdominal wall tumor. The laparotomy was performed and we found 5 disseminated nodules intraperitoneally. We confirmed that all of these disseminated nodules were successfully removed. We defined them as re-recurrence of GIST. Six years and 5 months have elapsed since the first operation was performed, but there is no sign of three times recurrence.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Agents / therapeutic use
  • Chemotherapy, Adjuvant
  • Gastrointestinal Stromal Tumors / complications
  • Gastrointestinal Stromal Tumors / drug therapy
  • Gastrointestinal Stromal Tumors / surgery*
  • Humans
  • Imatinib Mesylate / therapeutic use
  • Intestinal Neoplasms / complications
  • Intestinal Neoplasms / drug therapy
  • Intestinal Neoplasms / surgery*
  • Intestinal Perforation / etiology
  • Intestinal Perforation / surgery*
  • Male
  • Middle Aged
  • Prognosis
  • Recurrence
  • Time Factors

Substances

  • Antineoplastic Agents
  • Imatinib Mesylate