Case Report
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World J Gastroenterol. Apr 14, 2010; 16(14): 1808-1810
Published online Apr 14, 2010. doi: 10.3748/wjg.v16.i14.1808
Gastrointestinal stromal tumor of stomach with inguinal lymph nodes metastasis: A case report
Qin Zhang, Ji-Wei Yu, Wei-Li Yang, Xiao-Sun Liu, Ji-Ren Yu
Qin Zhang, Ji-Wei Yu, Wei-Li Yang, Xiao-Sun Liu, Ji-Ren Yu, Department of Gastrointestinal Surgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China
Author contributions: Zhang Q and Yu JW contributed equally to this work; Zhang Q and Yu JW wrote the paper; Yang WL and Liu XS designed the research and revised the paper; Yu JR managed the patient and supervised the research.
Correspondence to: Ji-Ren Yu, MD, Department of Gastrointestinal Surgery, First Affiliated Hospital, College of Medicine, Zhejiang University, No. 79, Qingchun Road, Hangzhou 310003, Zhejiang Province, China. yujiren0909@hotmail.com
Telephone: +86-571-87236147 Fax: +86-571-87072577
Received: December 13, 2009
Revised: January 20, 2010
Accepted: January 27, 2010
Published online: April 14, 2010
Abstract

Gastrointestinal stromal tumor (GIST) is the most common mesenchymal tumor in the alimentary tract. To the best of our knowledge, few cases have been reported in the literature about the peripheral lymph node metastasis of GIST. Here we report an unusual case of gastric GIST with inguinal lymph nodes metastasis. After the metastatic lymph nodes were resected, the. patient started to take imatinib 400 mg/d for 12 mo. There were no signs of tumor recurrence at follow-up after 29 mo. This case suggests that the inguinal lymph nodes can be a potential metastatic site of GIST.

Keywords: Gastrointestinal stromal tumor, Inguinal, Lymph node, Metastasis