[논문]A Case of Small Bowel GIST Initially Suspected as Peritoneal Seeding of Gastric Cancer

Jo, Dae-Hyeun; Song, Jeong-Yoon; Kim, Yong-Ho

doi:10.5230/jgc.2010.10.3.137

[국내논문] A Case of Small Bowel GIST Initially Suspected as Peritoneal Seeding of Gastric Cancer 원문보기

Journal of gastric cancer : jgc, v.10 no.3, 2010년, pp.137 - 140

Jo, Dae-Hyeun (Department of Surgery, Kyung Hee University School of Medicine) , Song, Jeong-Yoon (Department of Surgery, Kyung Hee University School of Medicine) , Kim, Yong-Ho (Department of Surgery, Kyung Hee University School of Medicine)

Abstract ▼ AI-Helper

Gastrointestinal stromal tumors (GISTs) constitute the most common primary mesenchymal tumors of the digestive tract and characteristically express c-kit (CD117). GISTs are the most common non-epithelial tumor of the GI tract and frequently originate from the stomach and small bowel. Specifically, the synchronous occurrence of a GIST with other epithelial tumors is rarely reported. Recently, we discovered one case of a concurrent gastric cancer and a small bowel GIST that was initially suspected to be peritoneal seeding from gastric cancer. The patient was initially admitted with epigastric pain. Gastric cancer with peritoneal seeding was suspected after an evaluation. Following a laparoscopic examination, a distal gastrectomy with D2 lymph node dissection and small-intestine segmental resection was performed. The final pathologic diagnosis was early gastric cancer and high-risk small bowel GIST. The patient refused adjuvant therapy for the GIST, and currently shows no other marked indisposition. He has been disease-free for 14 months.

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제안 방법

2). The patient underwent laparoscopic examination followed by distal gastrectomy with D2 lymph node dissection and segmental resection of the small intestine. Intra-operatively, the abdominal mass was suspected to be small bowel GIST was and not gastric cancer metastasis.

대상 데이터

A 55 year-old man with diabetes was admitted to the Gastroenterology department of Kyung Hee University Hospital on December 28, 2008, with a history of intermittent cramping epigastric pain. On examination, the patient’s abdomen was soft and was not distended, but a painless abdominal mass was palpated in the right upper guardant.

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