DOI QR코드

DOI QR Code

Extra-Gastrointestinal Stromal Tumor Presenting as an Anterior Chest Wall Mass

  • Lim, Junghyeon (Department of Cardiothoracic Surgery, Hanllym University Sacred Heart Hospital, Hanllym University College of Medicine) ;
  • Cho, Sung Woo (Department of Cardiothoracic Surgery, Hanllym University Kangdong Sacred Heart Hospital, Hanllym University College of Medicine) ;
  • Lee, Hee Sung (Department of Cardiothoracic Surgery, Hanllym University Dongtan Sacred Heart Hospital, Hanllym University College of Medicine) ;
  • Kim, Hyoung Soo (Department of Cardiothoracic Surgery, Hanllym University Sacred Heart Hospital, Hanllym University College of Medicine) ;
  • Kim, Yong Han (Department of Cardiothoracic Surgery, Hanllym University Sacred Heart Hospital, Hanllym University College of Medicine) ;
  • Park, Bong Suk (Department of Cardiothoracic Surgery, Hanllym University Sacred Heart Hospital, Hanllym University College of Medicine)
  • Received : 2016.09.29
  • Accepted : 2016.10.24
  • Published : 2017.08.05

Abstract

A 71-year-old man was referred for an anterior chest wall mass. Chest computed tomography (CT) and positron emission tomography-CT suggested a malignant tumor. Surgical biopsy through a vertical subxiphoid incision revealed an extra-gastrointestinal stromal tumor (EGIST). En bloc resection of the tumor, including partial resection of the sternum, costal cartilage, pericardium, diaphragm, and peritoneum, was performed. Pathologic evaluation revealed a negative resection margin and confirmed the tumor as an EGIST. On postoperative day 17, the patient was discharged without any complications. At the 2-week follow-up, the patient was doing well and was asymptomatic.

Keywords

References

  1. Kim JM, Yoon YH, Lee KH, Kim JH. Malignant gastrointestinal stromal tumour in the posterior mediastinum. Interact Cardiovasc Thorac Surg 2012;14:497-9. https://doi.org/10.1093/icvts/ivr131
  2. Alkhatib L, Albtoush O, Bataineh N, Gharaibeh K, Matalka I, Tokuda Y. Extragastrointestinal stromal tumor (EGIST) in the abdominal wall: case report and literature review. Int J Surg Case Rep 2011;2:253-5. https://doi.org/10.1016/j.ijscr.2011.07.009
  3. Miettinen M, El-Rifai W, H L Sobin L, Lasota J. Evaluation of malignancy and prognosis of gastrointestinal stromal tumors: a review. Hum Pathol 2002;33:478-83. https://doi.org/10.1053/hupa.2002.124123
  4. Lee JR, Anstadt MP, Khwaja S, Green LK. Gastrointestinal stromal tumor of the posterior mediastinum. Eur J Cardiothorac Surg 2002;22:1014-6. https://doi.org/10.1016/S1010-7940(02)00568-7
  5. Franzini C, Alessandri L, Piscioli I, et al. Extra-gastrointestinal stromal tumor of the greater omentum: report of a case and review of the literature. World J Surg Oncol 2008;6:25. https://doi.org/10.1186/1477-7819-6-25
  6. Zhang W, Peng Z, Xu L. Extragastrointestinal stromal tumor arising in the rectovaginal septum: report of an unusual case with literature review. Gynecol Oncol 2009;113:399-401. https://doi.org/10.1016/j.ygyno.2009.02.019
  7. Mansour KA, Thourani VH, Losken A, et al. Chest wall resections and reconstruction: a 25-year experience. Ann Thorac Surg 2002;73:1720-5. https://doi.org/10.1016/S0003-4975(02)03527-0