Multiple Synchronous Sporadic Gastrointestinal Stromal Tumors in the Stomach and Jejunum

Intern Med. 2018 Jun 15;57(12):1719-1723. doi: 10.2169/internalmedicine.0229-17. Epub 2018 Feb 9.

Abstract

A 77-year-old patient was admitted to our hospital for the further examination of melena. A computed tomography scan detected two submucosal tumors (SMTs) in the stomach and jejunum. Double-balloon endoscopy revealed the presence of a delle on the jejunal SMT, suggesting that the SMT was the origin of the gastrointestinal bleeding. Both tumors were surgically resected and subsequently diagnosed via histology as gastrointestinal stromal tumors (GISTs). Furthermore, the two GISTs had different mutations in the c-kit gene, suggesting that they were derived from different clonal origins. This report depicts an extremely rare case of multiple synchronous sporadic GISTs in the stomach and jejunum.

Keywords: c-kit mutation; multiple GISTs.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Gastrointestinal Stromal Tumors / diagnosis
  • Gastrointestinal Stromal Tumors / genetics
  • Gastrointestinal Stromal Tumors / pathology*
  • Humans
  • Jejunal Neoplasms / genetics
  • Jejunal Neoplasms / pathology*
  • Jejunum
  • Male
  • Proto-Oncogene Proteins c-kit / genetics
  • Stomach Neoplasms / genetics
  • Stomach Neoplasms / pathology*
  • Tomography, X-Ray Computed

Substances

  • Proto-Oncogene Proteins c-kit