title: A 25-year-old woman with a gastric GIST and a PET-positive epicardial tumor.
abstract: BACKGROUND
  A 25-year-old woman presented with a history of abdominal pain. Endoscopy of the upper gastrointestinal tract revealed a tumor that protruded into the prepyloric antrum. After resection, a 'high-risk' gastrointestinal stromal tumor was histologically confirmed.
  
  
  METHODS
  Endoscopy, endoscopic ultrasound, hemigastrectomy, [(18)F]-2-fluoro-2-deoxy-D-glucose (FDG)-PET/CT scan, histological examination, immunohistochemistry, cardiac MRI, high-resolution CT with electrocardiogram gating, CT angiography, and cardiac surgery.
  
  
  METHODS
  Gastrointestinal stromal tumor, epicardial paraganglioma, and Carney's syndrome.
  
  
  RESULTS
  Abdominal ultrasound and endoscopy combined with endoscopic ultrasound, annual FDG-PET/CT scan.
authors.affiliation: Department of Internal Medicine I, University of Ulm, Ulm, Germany.
authors.forename: Volker
authors.initials: V
authors.lastname: Kächele
authors.forename: Sandra
authors.initials: S
authors.lastname: Pauls
authors.forename: Felix M
authors.initials: FM
authors.lastname: Mottaghy
authors.forename: Norbert
authors.initials: N
authors.lastname: Blumstein
authors.forename: Hans J
authors.initials: HJ
authors.lastname: Brambs
authors.forename: Thomas F E
authors.initials: TF
authors.lastname: Barth
authors.forename: Andreas
authors.initials: A
authors.lastname: Hannekum
authors.forename: Martin
authors.initials: M
authors.lastname: Höher
authors.forename: Martin
authors.initials: M
authors.lastname: Jeltsch
authors.forename: Sven N
authors.initials: SN
authors.lastname: Reske
authors.forename: Peter
authors.initials: P
authors.lastname: Möller
authors.forename: Guido
authors.initials: G
authors.lastname: Adler
authors.forename: Thomas
authors.initials: T
authors.lastname: Seufferlein
mesh_terms: D000328:Adult; D014408:Biomarkers, Tumor; D019090:Case Management; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D005260:Female; D005743:Gastrectomy; D046152:Gastrointestinal Stromal Tumors / Q000000981:diagnostic imaging / Q000473:pathology* / Q000556:secondary / Q000601:surgery; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000556:secondary / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D009378:Neoplasms, Multiple Primary / Q000145:classification / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D010236:Paraganglioma, Extra-Adrenal / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D010496:Pericardium / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D049268:Positron-Emission Tomography; D011706:Pyloric Antrum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D012074:Remission Induction; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
chemical_list: D014408:Biomarkers, Tumor