[A Case of Multiple Gastric GIST with Lymph Nodes Metastases in a Young Woman]

Gan To Kagaku Ryoho. 2022 Dec;49(13):1850-1852.
[Article in Japanese]

Abstract

A 21-year-old woman with bloody stool was referred to our hospital with multiple submucosal tumors at the posterior and anterior wall of the gastric angle under upper gastrointestinal endoscopy. Both of the tumors were diagnosed with gastric gastrointestinal stromal tumor(GIST)by EUS-FNA, then laparoscopic distal gastrectomy with D1 lymph node dissection was performed. The size of those tumors were 47 mm and 15 mm respectively, and pathological examination revealed multiple lymph nodes metastases. Neither KIT nor PDGFRA mutation was found. She had received postoperative adjuvant chemotherapy with imatinib mesylate for 3 years. No sign of recurrence has been confirmed thereafter. GISTs in young adults are rare and their oncological features are considered to be different from common type of GIST.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Antineoplastic Agents* / therapeutic use
  • Female
  • Gastrointestinal Stromal Tumors* / drug therapy
  • Gastrointestinal Stromal Tumors* / pathology
  • Gastrointestinal Stromal Tumors* / surgery
  • Humans
  • Imatinib Mesylate / therapeutic use
  • Lymph Node Excision
  • Lymph Nodes / pathology
  • Stomach Neoplasms* / drug therapy
  • Stomach Neoplasms* / pathology
  • Stomach Neoplasms* / surgery
  • Young Adult

Substances

  • Antineoplastic Agents
  • Imatinib Mesylate