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Skull Metastasis of Gastric Gastrointestinal Stromal Tumor Successfully Managed by Surgery

  • Park, Inkeun (Division of Hematology-Oncology, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine) ;
  • Chung, Dong Hae (Department of Pathology, Gil Medical Center, Gachon University College of Medicine) ;
  • Yoo, Chan Jong (Department of Neurosurgery, Gil Medical Center, Gachon University College of Medicine) ;
  • Shin, Dong Bok (Division of Hematology-Oncology, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine)
  • Received : 2014.06.05
  • Accepted : 2014.08.06
  • Published : 2017.01.01

Abstract

Gastrointestinal stromal tumors (GISTs) are rare, but are the most common mesenchymal neoplasm of the gastrointestinal tract. The most common sites of metastasis are liver and peritoneum, while bone metastasis is rare. We report on a patient with skull metastasis after seven years of treatment with imatinib for metastatic GIST. She underwent metastasectomy consisting of craniectomy with excision of the mass, and cranioplasty and continued treatment with imatinib and sunitinib, without evidence of cranial recurrence. She died of pneumonia sepsis one year after metastasectomy. Skull metastasis of GIST is a very rare presentation, and an aggressive multidisciplinary approach should be considered whenever possible.

Keywords

References

  1. Abuzakhm SM, Acre-Lara CE, Zhao W, Hitchcock C, Mohamed N, Arbogast D, et al. : Unusual metastases of gastrointestinal stromal tumor and genotypic correlates : case report and review of the literature. J Gastrointest Oncol 2 : 45-49, 2011
  2. Akiyama K, Numaga J, Kagaya F, Takazawa Y, Suzuki S, Koseki N, et al. : Case of optic nerve involvement in metastasis of a gastrointestinal stromal tumor. Jpn J Ophthalmol 48 : 166-168, 2004 https://doi.org/10.1007/s10384-003-0028-9
  3. Baeg MK, Bae SH, Lee KH, Kim J, Park IS, Jin JY : Diplopia as a presenting symptom in a gastric gastrointestinal stromal tumor. Jpn J Clin Oncol 41 : 265-268, 2011 https://doi.org/10.1093/jjco/hyq176
  4. Barriere J, Thariat J, Vandenbos F, Bondiau PY, Peyrottes I, Peyrade F : Diplopia as the first symptom of an aggressive metastatic rectal stromal tumor. Onkologie 32 : 345-347, 2009 https://doi.org/10.1159/000215712
  5. Bertulli R, Fumagalli E, Coco P, Messina A, Morosi C, Dileo P, et al. : Unusual metastatic sites in gastrointestinal stromal tumor (GIST). J Clin Oncol (Meeting Abstracts) 27 : 10566, 2009
  6. Di Scioscio V, Greco L, Pallotti MC, Pantaleo MA, Maleddu A, Nannini M, et al. : Three cases of bone metastases in patients with gastrointestinal stromal tumors. Rare Tumors 3 : e17, 2011
  7. Eisenberg BL, Pipas JM : Gastrointestinal stromal tumor--background, pathology, treatment. Hematol Oncol Clin North Am 26 : 1239-1259, 2012 https://doi.org/10.1016/j.hoc.2012.08.003
  8. Feki J, Bouzguenda R, Ayedi L, Bradi M, Boudawara T, Daoud J, et al. : Bone metastases from gastrointestinal stromal tumor : a case report. Case Rep Oncol Med 2012 : 509845, 2012
  9. Gil-Arnaiz I, Martinez-Trufero J, Pazo-Cid RA, Felipo F, Lecumberri MJ, Calderero V : Skull metastasis from rectal gastrointestinal stromal tumours. Clin Transl Oncol 11 : 625-627, 2009 https://doi.org/10.1007/s12094-009-0415-x
  10. Jati A, Tatli S, Morgan JA, Glickman JN, Demetri GD, Van den Abbele A, et al. : Imaging features of bone metastases in patients with gastrointestinal stromal tumors. Diagn Interv Radiol 18 : 391-396, 2012
  11. Li LF, Tse YH, Ho SL, Yan KW, Lui WM : Duodenal GIST metastasized to skull and orbit managed by surgery : a case report. Asian J Surg 34 : 181-184, 2011 https://doi.org/10.1016/j.asjsur.2011.11.001
  12. Raut CP, Posner M, Desai J, Morgan JA, George S, Zahrieh D, et al. : Surgical management of advanced gastrointestinal stromal tumors after treatment with targeted systemic therapy using kinase inhibitors. J Clin Oncol 24 : 2325-2331, 2006 https://doi.org/10.1200/JCO.2005.05.3439
  13. van der Zwan SM, DeMatteo RP : Gastrointestinal stromal tumor : 5 years later. Cancer 104 : 1781-1788, 2005 https://doi.org/10.1002/cncr.21419
  14. von Mehren M, Heinrich MC, Joensuu H, Blanke CD, Wehrle E, Demetri GD : Follow-up results after 9 years (yrs) of the ongoing, phase II B2222 trial of imatinib mesylate (IM) in patients (pts) with metastatic or unresectable KIT+ gastrointestinal stromal tumors (GIST). J Clin Oncol 29 (Suppl) : Abstract 10016, 2011
  15. Wong CS, Chu YC : Intra-cranial metastasis of gastrointestinal stromal tumor. Chin Med J (Engl) 124 : 3595-3597, 2011

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