title: Malignant gastric stromal tumor: unusual metastatic patterns.
abstract: We present the case of a woman with metastatic malignant gastric stromal tumor occurring four years following a partial gastrectomy and distal esophagectomy, which presented as atypical breast mass with synchronous occult gastrointestinal bleeding. A discussion of metastatic pattern is presented, with emphasis placed on the need for continued surveillance after resectional surgery for gastrointestinal stromal tumor (GIST).
authors.affiliation: Department of General Surgery, St. Francis Hospital, Evanston, IL, USA.
authors.forename: Obinna C
authors.initials: OC
authors.lastname: Igwilo
authors.forename: Mitchel P
authors.initials: MP
authors.lastname: Byrne
authors.forename: Khoa D
authors.initials: KD
authors.lastname: Nguyen
authors.forename: Janis
authors.initials: J
authors.lastname: Atkinson
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis* / Q000556:secondary* / Q000628:therapy; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000175:diagnosis* / Q000556:secondary* / Q000628:therapy; D008875:Middle Aged; D009372:Neoplasms, Connective Tissue / Q000175:diagnosis* / Q000556:secondary* / Q000628:therapy; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000473:pathology* / Q000628:therapy; D017154:Stromal Cells / Q000473:pathology*