Abstract
A poor prognosis in patients with a gastrointestinal stromal tumor (GIST) is related to tumor diameter, metastasis, organ invasion, tumor bursting, dissemination and incomplete excision.
We treated a case with stomach GIST who had hepatic metastasis that resulted in perforation and hemorrhage.
A 69-year-old man first noticed epigastric discomfort in July 2007. At the end of November, he developed epigastralgia, with vomiting of a coffee residue-like substance.
On CT and gastroscopy a 17-cm diameter neoplastic lesion was found at the fornix on the greater curvature side of the stomach. A perforative peritonitis caused by a submucosal tumor of the stomach was diagnosed. On the twelfth day of hospitalization, the patient developed massive haematemesis. Therefore, the ascending branch of the left gastric artery was embolized. Although temporary hemostasis was achieved, there was a risk of rebleeding. Therefore, a total gastrectomy was done the following day. On histopathological examination of the surgical specimen, stomach GIST was diagnosed.
