A CASE OF GASTROINTESTINAL STROMAL TUMOR OF THE STOMACH WITH LIVER METASTASIS AND EARLY GASTRIC CANCER

Abstract

A 76-year-old man was seen at the hospital because of tarry stool and a huge tumor at the left upper abdomen was found by abdominal CT. With close examination gastrointestinal stromal tumor (GIST) of the stomach with liver metastasis, early gastric cancer and gallbladder stone was diagnosed. A total gastrectomy, a distal pancreatectomy, a splenectomy, a partial hepatectomy and a cholecystectomy. The size of GIST was 23×12×11cm, the liver tumor was 1.2×1.1cm, and IIc type gastric cancer was 1.2×1.1cm. The histological findings of GIST and liver metastasis were uncommitted type, and gastric cancer was moderately differentiated adenocarcinoma limited in the mucosal layer. In the Japanese literature, 17 cases of GIST of the stomach were reported. this suggestive case is presented together with some bibliographical comments.