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Review
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Korean J Med. 2006;71(1):228-228.
- Isolated Abdominal Wound Metastasis From a Gastrointestinal Stromal Tumor
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Do Hoon Kim, Ji Young Kim, Gwang Ha Kim, Dae Hwan Kang, Geun Am Song
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- Isolated Abdominal Wound Metastasis From a Gastrointestinal Stromal Tumor
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을지의과대학교 내과
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- Abstract
- Isolated Abdominal Wound Metastasis From a Gastrointestinal Stromal Tumor Department of Internal Medicine, University of
Pusan National College of Medicine, Pusan National University Hospital, Busan, Korea *Do Hoon Kim, Ji Young Kim, Gwang
Ha Kim, Dae Hwan Kang, Geun Am Song Surgical resection is still the mainstay of treatment of gastrointestinal stromal
tumors(GIST). Laparoscopic surgery should be considered for these tumors as their biologic behabior lends to curative resection
without requiring large margins or extensive lymphadenectomy. Despite complete resection, GIST frequently recur specifically
in the liver and peritoneum. Although isolated laparoscopic and incisional recurrences occur with other upper gastrointestinal
malignancies, they have not been previously described with GIST in Korea. An 69-yr-old woman was hospitalized for a
abdominal mass. She underwent a gastroduodenoscopy and endoscopic ultrasound on another hospital, which revealed a
5cm-sized hypo or mixed echoic mass with central ulceration in the lesser curvature of the lower body in muscularis propria
consistent with with a GIST. She underwent a laparoscopic distal gastrectomy and gastrojejunostomy. 35 months after surgery,
he visited our hospital because of painful and palpable subcutaneous nodule at the scar of the periumbilical trocar incision. The
Biopsy of the mass was consistent with GIST. The patient is currently asymptomatic receiving 400mg/d of imatinib mesylate.
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