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- Title
case of an intramesenteric GIST accurately diagnosed and completely resected by PET-CT and laparoscopy after gastrectomy for gastric cancer.
- Authors
Sato, Manabu; Sato, Masayuki; Yokoyama, Tadaaki; Kusaka, Akiko; Suzuki, Yukie; Fukuhara, Kenji
- Abstract
We performed the accurate diagnosis and complete surgical resection of a gastrointestinal stromal tumor at the mesentery of the small bowel. Computed tomography (CT) in a 62-year-old man at 2 years after gastrectomy for gastric cancer showed a mesenteric tumor, with no other tumors noted. Positron emission tomography-computed tomography (PET-CT) showed a maximum standardized uptake value (SUV max) of 2.9 at the tumor. The presence of a single and low SUV max tumor allowed us to perform laparoscopic surgery. Partial resection of the tumor with an adequate margin was performed. The pathological findings showed c-kit positivity and a low Ki-67 proliferation index (<5%). In the present case, PET-CT and laparoscopic assessments were useful for accurately evaluating the surgical resectability of the mesenteric tumor after distal gastrectomy for gastric cancer. The low SUV max and laparoscopic findings led to complete surgical resection of a mesenteric tumor.
- Subjects
POSITRON emission tomography computed tomography; GASTROINTESTINAL stromal tumors; STOMACH cancer; GASTRECTOMY; COMPUTED tomography; SURGICAL excision
- Publication
Journal of Surgical Case Reports, 2022, Vol 2022, Issue 6, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjac246