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J Korean Surg Soc. 2011 Dec;81(Suppl 1):S25-S29. English. Case Report. https://doi.org/10.4174/jkss.2011.81.Suppl1.S25
Kim HG , Ryu SY , Joo JK , Kang H , Lee JH , Kim DY .
Division of Gastroenterologic Surgery, Department of Surgery, Chonnam National University Medical School, Gwangju, Korea. dockim@chonnam.ac.kr
Department of Pathology, Chonnam National University Medical School, Gwangju, Korea.
Abstract

Malignant gastrointestinal stromal tumors (GISTs) are rare non-epithelial, mesenchymal neoplasms of the gastrointestinal tract that metastasize or recur in 30% of patients who undergo surgical resection with curative intent. A 59-year-old man visited our hospital for an examination of a palpable mass in the left abdomen. Fourteen months prior to his visit, the patient underwent gastric wedge resection to remove a GIST of the gastric cardia. At the time of surgery, no evidence of metastatic disease was observed and the pathological interpretation was a high-risk GIST. A follow-up computed tomography scan of the abdomen revealed a partially necrotic solid mass (9.8 x 7.6 cm) and enhancing mass in the spleen (2.3 cm). On exploration, multiple masses were found in the liver, greater omentum, and mesentery. Here, we report a case of recurring GIST of the stomach that metastasized to the spleen. To the best of our knowledge, few reports of metastasis to the spleen exist.

Copyright © 2019. Korean Association of Medical Journal Editors.