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ABDOMEN / GI tract general 78 / F, Incidental finding
Number of Applicants : 38
2025-03-15
| About Author | |
| Authors | Youe Ree Kim |
| Institution | Wonkwang University Hospital |
| sweetynn@naver.com | |
| About Case | |||
| Chief complaint or Title |
Incidental finding | ||
| Age | 78 | Sex | F |
| Difficulty | For resident, For specialist | ||
| Modality | CT, MR, RI | ||
| Case Figures | |||||||||
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| Questions | ||
| What is your diagnosis? |
| Answer | |||
| Diagnosis | GIST (Gastrointestinal stromal tumor) | ||
| Comments |
** Lymph node metastasis of GIST
Gastrointestinal stromal tumor (GIST) with lymph node metastasis is rare - Ann. Surg. January 2000 : Lymph node involvement 6 of 200 GIST patient - Annals of Surgical Oncology, 2022 : in total 5018 patients, 301 (6.0%) of 5018
Low incidence of lymph node metastases-> Lymphadenectomy is not routinely warranted Predictors of lymph node metastasis in patients with GISTs - Of 1430 patients (age: 61.5 ± 14.5 years, 52% males), 140 (9.8%) had lymph node metastasis - In the entire cohort, lymph node metastasis did not reflect a worse overall survival or disease-specific survival - No prognostic association with gastric GIST - Metastatic disease : independent predictor of lymph node metastasis in patients with GISTs 
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| References | 1. Stiles ZE, Fleming AM, Dickson PV, Tsao M, Glazer ES, Shibata D, Deneve JL. Lymph Node Metastases in Gastrointestinal Stromal Tumors: an Uncommon Event. Ann Surg Oncol. 2022 Dec;29(13):8641-8648. 2. Gaitanidis A, El Lakis M, Alevizakos M, Tsaroucha A, Pitiakoudis M. Predictors of lymph node metastasis in patients with gastrointestinal stromal tumors (GISTs). Langenbecks Arch Surg. 2018 Aug;403(5):599-606. |
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| Keywords | Metastasis, Lymph node, GIST, Stomach, Liver | ||
| Attachment File | - | ||
Number of Applicants : 38
| Correct Answer | 18 |
| Dokkyo medical school | Arakawa Hiroaki |
| 로컬 | 김민지 |
| 서울의료원 | 김여은 |
| 구미차병원 | 김주애 |
| 이대목동병원 | 김진실 |
| 박다원 | |
| - | 변성환 |
| 서울아산병원 | 신용문 |
| 세브란스병원 | 양현경 |
| 의정부성모병원 | 이수림 |
| 이대서울 병원 | 이진영 |
| 한림대학교성심병원 | 임정민 |
| 가톨릭대학교 여의도성모병원 | 전차웅 |
| 중앙보훈병원 | 조상현 |
| 분당차병원 | 주황선 |
| 고려대구로병원 | 최재웅 |
| 인하대병원 | 홍성철 |
| 공보의 | 홍혁기 |