A Case of Hepatic Recurrence of Low Risk Duodenal Gastrointestinal Stromal Tumor in 11 Years after Curative Resection

Lee, Je Hoon; Lee, Sang Jin; Park, Jong Kyu; Kim, Eun Jung; Oh, Kwang Hoon; Yoo, Seung Jin; Choi, Kyu Un

doi:2013.13.4.243

Korean J Helicobacter Up Gastrointest Res > Volume 13(4); 2013 > Article

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2013;13(4):243-247.
DOI: https://doi.org/10.7704/kjhugr.2013.13.4.243 Published online December 10, 2013.

A Case of Hepatic Recurrence of Low Risk Duodenal Gastrointestinal Stromal Tumor in 11 Years after Curative Resection

Je Hoon Lee, Sang Jin Lee, Jong Kyu Park, Eun Jung Kim, Kwang Hoon Oh, Seung Jin Yoo, Kyu Un Choi

Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. sangjin@naver.com

근치적 절제 11년 후 간 종괴로 재발한 저 위험도 십이지장 위장관간질종양 1예

이제훈, 이상진, 박종규, 김은정, 오광훈, 유승진, 최규언

울산대학교 의과대학 강릉아산병원 내과학교실

Abstract

Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. It is mainly found in the stomach and small intestine. Based on tumor size and mitotic index, it is classified into very low risk, low risk, intermediate risk and high risk. Generally, the recurrence of low risk GIST is extremely rare, but the recurrence rate can be different according to its location. Recently, it has been reported that the recurrence rate of low risk small bowel GIST is higher than the recurrence rate of low risk stomach GIST. We report a hepatic recurrence of low risk duodenal GIST that was removed completely through pancreaticoduodenectomy 11 years earlier. Regular long term follow-up must be considered, even for low risk GISTs.

Key Words: Gastrointestinal stromal tumors; Duodenum; Recurrence; Liver