Korean J Thorac Cardiovasc Surg.  2005 Jul;38(7):514-517.

Excision of Malignant Gastrointestinal Stromal Tumor of Distal Esophagus and Stomach using Thoracoabdominal Incision

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University, Korea. ktkim@korea.ac.kr
  • 2Department of Thoracic and Cardiovascular Surgery, College of Medicine, Konkuk University, Korea.

Abstract

Gastrointestinal stromal tumor is documented on every part of the gastrointestinal tract. It develops in the stomach and the small intestine most commonly, and also in the esophagus. A 44 year-old male patient was admitted due to dysphagia and weight loss. Chest CT showed about 15x11x11 cm sized, well-defined, and lobulated soft tissue mass with central necrosis was noted in the posterior wall of lower esophagus throughout the lesser curvature of upper stomach. We performed the distal esophagectomy and total gastrectomy using thoracoabdominal incision. The tumor was positive at CD117 (c-kit) and CD 34, and was diagnosed as malignant GIST of the distal esophagus and upper stomach. The patient is on routine follow up at the out patient department for nineteen months up to now.

Keyword

Esophageal neoplasms; Stomach neoplasms; Esophageal surgery

MeSH Terms

Adult
Deglutition Disorders
Esophageal Neoplasms
Esophagectomy
Esophagus*
Follow-Up Studies
Gastrectomy
Gastrointestinal Stromal Tumors*
Gastrointestinal Tract
Humans
Intestine, Small
Male
Necrosis
Stomach Neoplasms
Stomach*
Tomography, X-Ray Computed
Weight Loss
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