scholarly journals A Case of Hepatic Metastases of Gastric GIST Successfully Treated with Imatinib Mesylate

2006 ◽  
Vol 55 (5) ◽  
pp. 173-178
Author(s):  
Hiroaki TAKENAKA ◽  
Takaharu YAGI ◽  
Toshiki TANAKA ◽  
Masahiko ORITA ◽  
Nobuyoshi MORITA ◽  
...  
2020 ◽  
Vol 81 (9) ◽  
pp. 1780-1785
Author(s):  
Yosuke MORIMOTO ◽  
Koji FUJITA ◽  
Hiroyuki KIKUNAGA ◽  
Hiroshi MIURA ◽  
Syojiro MORINAGA ◽  
...  

2013 ◽  
Vol 70 (2) ◽  
pp. 225-228 ◽  
Author(s):  
Radoje Colovic ◽  
Marjan Micev ◽  
Slavko Matic ◽  
Natasa Colovic ◽  
Nikica Grubor ◽  
...  

Introduction. Gastrointestinal stromal tumors (GISTs) are rare and account for 0.1%-3% of all gastrointestinal neoplasms. GISTs are most commonly located in the stomach (60%) and 20%-25% are malignant, with metastases involving the peritoneum or the liver. Cystic liver metastases are extremely rare. Only two previous cases of patients with cystic liver metastases, prior to treatment with imatinib mesylate, have been described so far. Case report. We reported a 52-year-old woman presented with a history of abdominal fullness and discomfort. Clinical examination revealed two palpable masses, first in the right upper abdomen and second left to the umbilicus. Examinations revealed 4 cystic metastases in the liver, 3 in the right lobe (including a huge one measuring 20.5 x 16 cm), and 1 in the left lobe, together with a primary tumor on the greater curvature of the stomach. Gastric tumor was removed with a Billroth II gastrectomy. Partial excision of the largest liver metastasis was performed for histopathology. Immunohistochemistry confirmed the diagnosis of a GIST in both tissue samples. After an uneventful recovery the patient was commenced on imatinib mesylate therapy. The patient remainsed symptom-free at 24 months follow-up. Conclusion. This was the third reported case of gastric GIST with giant cystic liver metastases present prior to treatment with imatinib mesylate. Although extremely rare, GISTs may present with cystic liver metastases prior to treatment with imatinib mesylate, and should be considered in the differential diagnoses of patients with liver cysts of uncertain aetiology.


Author(s):  
Kazuhiro MIGITA ◽  
Akihiko WATANABE ◽  
Chihiro SAKAMOTO ◽  
Takao OHYAMA ◽  
Hirofumi ISHIKAWA ◽  
...  

2017 ◽  
Vol 50 (5) ◽  
pp. 350-356
Author(s):  
Jongsung Pak ◽  
Kazuyoshi Yamamoto ◽  
Kazuhiro Nishikawa ◽  
Motohiro Hirao ◽  
Masakazu Miyake ◽  
...  

2007 ◽  
Vol 54 (1) ◽  
pp. 169-171 ◽  
Author(s):  
V.R. Djukic ◽  
A.R. Karamarkovic ◽  
S. Mijatovic ◽  
M. Micev ◽  
V.M. Bumbasirevic ◽  
...  

Gastrointestinal stromal tumors GIST are rare mesenchymal tumors of the gastrointestinal tract characterized by expression of a receptor that activates tyrosine kinase called C- kit. Since malignant GIST has an extremely poor prognosis even after surgical resection. The development of a tyrosine kinase inhibitor, STI571/imatinib mesylate/Gleevec, Glivec which inhibits the BCR-ABL, PDGF-R alpha, and C-Kit receptors, has changed the management of unrespectable malignant GIST and has improved the survival of patients with metastaic disease. We report a 32 year old male patient with subcardiale gastric GIST and massive gastrointestinale bleeding. The patient underwent total gastrectomy, D2 lymphadenestomy, distal pancreatectomy and splenectomy on 02.02. 2004. Histopathology examination of the primary tumor revealed a strong C-Kit expression and CD 34 +++, Ki67 20 and so called "Pure GIST" was approved Liver metastasis was detected on ultrasound and CT 12 months later and segmentectomy S7 was performed on 23.03.2005. Postoperative course was uneventful. HP examination - malignant 35 x 30 mm sarcoma like tumor of mesenchymal origin. The patient received adjuvant imatinib -mesylate Gleevec Novartis Pharma Basel 400 mg a day. The initial complete response to treatment continued to 24 months postoperatively Imatinib is a recent and very promising treatment extirpation remains the only curative treatment of malignant GIST as evidenced by our patient.


2007 ◽  
Vol 68 (9) ◽  
pp. 2229-2232 ◽  
Author(s):  
Keisuke KOEDA ◽  
Akira SASAKI ◽  
Hisataka FUJIWARA ◽  
Masanori TAKAHASHI ◽  
Takehiro CHIBA ◽  
...  

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