Gastric Gastrointestinal Stromal Tumor with Repeated Recurrence at the Anastomosis Site in a Very Elderly Patientopen access초고령 환자에서 위의 위장관 기질 종양 수술 후 나타난 반복적인 문합부 재발
- Authors
- 김혜진; 박재용; 김범진; 김재규; 김희성; 박중민
- Issue Date
- Oct-2020
- Publisher
- 대한소화기학회
- Keywords
- Gastrointestinal stromal tumors; Surgery; Imatinib mesylate; Recurrence
- Citation
- 대한소화기학회지, v.76, no.4, pp 206 - 210
- Pages
- 5
- Journal Title
- 대한소화기학회지
- Volume
- 76
- Number
- 4
- Start Page
- 206
- End Page
- 210
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/53305
- DOI
- 10.4166/kjg.2020.76.4.206
- ISSN
- 1598-9992
2233-6869
- 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.
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