[A case of drug resistant recurrent gastrointestinal stromal tumor treated surgically by resection, partial hepatectomy and diaphragmectomy]

Gan To Kagaku Ryoho. 2012 Nov;39(12):2438-40.
[Article in Japanese]

Abstract

This 69-year-old man underwent a partial jejunectomy for gastrointestinal stromal tumor(GIST) at the age of 60, and subsequently hepatectomy of segment 5, 6, 7 for liver metastasis of GIST a year later. An irregular mass close to the cutting stump of the liver, and a mass that showed enhanced-effect at segment 4 was discovered 28 months after hepatectomy. In order to treat this second recurrence, we administered imatinib and sunitinib sequentially. The tumor subsequently became drug-resistant, so we removed it surgically together with the liver and a portion of right diaphragm, and a tumor in segment 4. The patient shows no recurrent sign 4 months after surgery. This case suggests that surgical resection should be considered for partially drug resistant GIST.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Benzamides
  • Combined Modality Therapy
  • Diaphragm / surgery*
  • Drug Resistance, Neoplasm*
  • Gastrointestinal Stromal Tumors / drug therapy
  • Gastrointestinal Stromal Tumors / surgery*
  • Hepatectomy
  • Humans
  • Imatinib Mesylate
  • Indoles / administration & dosage
  • Jejunal Neoplasms / drug therapy
  • Jejunal Neoplasms / surgery*
  • Liver Neoplasms / secondary
  • Liver Neoplasms / surgery*
  • Male
  • Peritoneal Neoplasms / secondary
  • Peritoneal Neoplasms / surgery*
  • Piperazines / administration & dosage
  • Pyrimidines / administration & dosage
  • Pyrroles / administration & dosage
  • Recurrence
  • Sunitinib

Substances

  • Benzamides
  • Indoles
  • Piperazines
  • Pyrimidines
  • Pyrroles
  • Imatinib Mesylate
  • Sunitinib