Gastrointestinal Stromal Tumor in Pregnancy: A Case Report

Background. Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the digestive tract and are diagnosed relatively seldom in pregnancy. Case. We describe a remarkable clinical course and long-term outcome, now nine years after first diagnosis, of a massive and metastatic,...

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Main Authors: S. Scherjon, W. F. Lam, H. Gelderblom, F. W. Jansen
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2009/456402
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author S. Scherjon
W. F. Lam
H. Gelderblom
F. W. Jansen
author_facet S. Scherjon
W. F. Lam
H. Gelderblom
F. W. Jansen
author_sort S. Scherjon
collection DOAJ
description Background. Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the digestive tract and are diagnosed relatively seldom in pregnancy. Case. We describe a remarkable clinical course and long-term outcome, now nine years after first diagnosis, of a massive and metastatic, with a high malignancy grade GIST case, found in and treated from the first trimester of pregnancy onwards. Conclusion. GIST occurring during pregnancy is extremely rare. However, early diagnosis is important for optimal management. The recent better understanding of oncogenesis, the use of immunohistochemistry for differential diagnosis of GISTs, and the use of imatinib mesylate as the treatment of first choice are—as shown in this case—important for care of pregnant women with this type of malignancy.
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spelling doaj-art-e9d27d7f918043cc8b898b84381116d82025-08-20T03:20:39ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/456402456402Gastrointestinal Stromal Tumor in Pregnancy: A Case ReportS. Scherjon0W. F. Lam1H. Gelderblom2F. W. Jansen3Department of Obstetrics, Leiden University Medical Center, P.O. Box 9600 (K6-26), 2300 RC Leiden, The NetherlandsDepartment of Obstetrics and Gynecology, IJsselland Ziekenhuis, Capelle a/d IJssel, The NetherlandsDepartment of Clinical Oncology, Leiden University Medical Center, Leiden, The NetherlandsDepartment of Gynecology, Leiden University Medical Center, Leiden, The NetherlandsBackground. Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the digestive tract and are diagnosed relatively seldom in pregnancy. Case. We describe a remarkable clinical course and long-term outcome, now nine years after first diagnosis, of a massive and metastatic, with a high malignancy grade GIST case, found in and treated from the first trimester of pregnancy onwards. Conclusion. GIST occurring during pregnancy is extremely rare. However, early diagnosis is important for optimal management. The recent better understanding of oncogenesis, the use of immunohistochemistry for differential diagnosis of GISTs, and the use of imatinib mesylate as the treatment of first choice are—as shown in this case—important for care of pregnant women with this type of malignancy.http://dx.doi.org/10.1155/2009/456402
spellingShingle S. Scherjon
W. F. Lam
H. Gelderblom
F. W. Jansen
Gastrointestinal Stromal Tumor in Pregnancy: A Case Report
Case Reports in Medicine
title Gastrointestinal Stromal Tumor in Pregnancy: A Case Report
title_full Gastrointestinal Stromal Tumor in Pregnancy: A Case Report
title_fullStr Gastrointestinal Stromal Tumor in Pregnancy: A Case Report
title_full_unstemmed Gastrointestinal Stromal Tumor in Pregnancy: A Case Report
title_short Gastrointestinal Stromal Tumor in Pregnancy: A Case Report
title_sort gastrointestinal stromal tumor in pregnancy a case report
url http://dx.doi.org/10.1155/2009/456402
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AT wflam gastrointestinalstromaltumorinpregnancyacasereport
AT hgelderblom gastrointestinalstromaltumorinpregnancyacasereport
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