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http://dx.doi.org/10.3340/jkns.2014.0506.007

Skull Metastasis of Gastric Gastrointestinal Stromal Tumor Successfully Managed by Surgery  

Park, Inkeun (Division of Hematology-Oncology, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine)
Chung, Dong Hae (Department of Pathology, Gil Medical Center, Gachon University College of Medicine)
Yoo, Chan Jong (Department of Neurosurgery, Gil Medical Center, Gachon University College of Medicine)
Shin, Dong Bok (Division of Hematology-Oncology, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine)
Publication Information
Journal of Korean Neurosurgical Society / v.60, no.1, 2017 , pp. 94-97 More about this Journal
Abstract
Gastrointestinal stromal tumors (GISTs) are rare, but are the most common mesenchymal neoplasm of the gastrointestinal tract. The most common sites of metastasis are liver and peritoneum, while bone metastasis is rare. We report on a patient with skull metastasis after seven years of treatment with imatinib for metastatic GIST. She underwent metastasectomy consisting of craniectomy with excision of the mass, and cranioplasty and continued treatment with imatinib and sunitinib, without evidence of cranial recurrence. She died of pneumonia sepsis one year after metastasectomy. Skull metastasis of GIST is a very rare presentation, and an aggressive multidisciplinary approach should be considered whenever possible.
Keywords
Gastrointestinal stromal tumor; Skull metastasis; Metastasectomy; Target therapy; Multidisciplinary treatment;
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