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Excision of Malignant Gastrointestinal Stromal Tumor of Distal Esophagus and Stomach using Thoracoabdominal Incision  

Hwang Jin Wook (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
Son Ho Sung (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
Jo Jong Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
Park Sung Min (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
Lee Song Am (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Konkuk University)
Sun Kyung (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
Kim Kwang Taik (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
Publication Information
Journal of Chest Surgery / v.38, no.7, 2005 , pp. 514-517 More about this Journal
Abstract
Gastrointestinal stromal tumor is documented on every part of the gastrointestinal tract. It develops in the stomach and the small intestine most commonly, and also in the esophagus. A 44 year-old male patient was admitted due to dysphagia and weight loss. Chest CT showed about $15\times11\times11cm$ sized, well-defined, and lobulated soft tissue mass with central necrosis was noted in the posterior wall of lower esophagus throughout the lesser curvature of upper stomach. We performed the distal esophagectomy and total gastrectomy using thoracoabdominal incision. The tumor was positive at CD117 (c-kit) and CD 34, and was diagnosed as malignant GIST of the distal esophagus and upper stomach. The patient is on routine follow up at the out patient department for nineteen months up to now.
Keywords
Esophageal neoplasms; Stomach neoplasms; Esophageal surgery;
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