title: [A case of gastrointestinal stromal tumor of the stomach with lymph node metastasis followed up for 7 years without evidence of recurrence after surgery].
abstract: A gastric tumor was pointed out in 43-year-old woman as a result of a medical check-up. We performed partial gastrectomy based on a preoperative diagnosis of a gastrointestinal stromal tumor (GIST). However, as intraoperative frozen section histological examination showed lymph node metastasis, we performed a total gastrectomy simlilar to cases of gastric cancer with lymph node dissection. Postoperative histological examination showed that the tumor was positive for c-kit immunohistochemically, and consisted of spindle cells. We made a diagnosis of GIST of the stomach with lymph node metastasis. Lymph node metastasis in a case of GIST is rare, and has a poor prognosis. We report a case of a rare gastrointestinal stromal tumor with lymph node metastasis, followed up for 7 years with no evidence of recurrence after radical surgery with lymph node dissection.
authors.affiliation: Department of Surgery, NTT West Japan Kyoto Hospital, Japan. e.yamada@mhc.west.ntt.co.jp
authors.forename: Eiji
authors.initials: E
authors.lastname: Yamada
authors.forename: Tatsuki
authors.initials: T
authors.lastname: Oyaizu
authors.forename: Tadashi
authors.initials: T
authors.lastname: Miyashita
mesh_terms: D000328:Adult; D005260:Female; D046152:Gastrointestinal Stromal Tumors / Q000473:pathology*; D006801:Humans; D008207:Lymphatic Metastasis; D009364:Neoplasm Recurrence, Local; D013274:Stomach Neoplasms / Q000473:pathology*