Korean J Gastroenterol.  2020 Oct;76(4):206-210. 10.4166/kjg.2020.76.4.206.

Gastric Gastrointestinal Stromal Tumor with Repeated Recurrence at the Anastomosis Site in a Very Elderly Patient

Affiliations
  • 1Department of Internal Medicine, Pathology, Chung-Ang University College of Medicine, Seoul, Korea
  • 2Department of Internal Medicine, Surgery, Chung-Ang University College of Medicine, Seoul, Korea

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.

Keyword

Gastrointestinal stromal tumors; Surgery; Imatinib mesylate; Recurrence
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