Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
Manifestation of liver metastasis eight years after removal of gist arising from the jejunum
Kazuto KATAHASHIShohachi SUZUKIOsamu JINDOHideto OCHIAINobuhiko TANIOKAHiroshi KITAMURA
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2012 Volume 73 Issue 2 Pages 369-374

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Abstract
A 78-year-old woman had undergone removal of a jejunal tumor with cystic formation showing 7 cm in size eight years earlier. This tumor was diagnosed as a gastrointestinal stromal tumor (GIST) with moderate risk that originated in the jejunum based on histopathological findings with immunohistochemistry. Abdominal CT revealed two small cystic tumors in the eighth segment of the liver in 2009. These tumors were diagnosed as liver metastases from the GIST because pericapsular stain with an increase in tumor size was seen on contrast-enhanced CT in 2010. Metastatic foci were removed by partial hepatectomy and tumor pathology was compatible with findings of the GIST arising from the jejunum. A careful long-term follow-up is required after resection of a GIST because the biological characteristics of GIST are being clarified.
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© 2012 Japan Surgical Association
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