Perisacral Gastrointestinal Stromal Tumor With Intracranial Metastasis : Case Report
スポンサーリンク
概要
- 論文の詳細を見る
A 68-year-old woman presented with an extremely rare intracranial metastasis from a gastrointestinal stromal tumor (GIST) manifesting as left hemiparesis 2 years after resection of a sacral tumor adjacent to the coccygeal bone. Magnetic resonance imaging revealed an intracranial tumor in the right parietal lobe. Craniotomy was performed to completely remove the tumor. Although the tumor was located extra-axially, only internal carotid angiography showed mass staining. Seven months after surgery, the tumor recurred. Repeat craniotomy was performed to remove the recurrent tumor. Immunohistochemical analysis showed that the tumor cells were positive for c-kit and CD34, and the tumors were identified as intracranial metastasis of GIST. Following the second intracranial surgery, the patient developed severe lower back pain caused by metastatic tumor invading the lumbar spine and ureter. To avoid surgical complications and to reduce tumor volume, imatinib mesylate (Gleevec^[○!R]) was administered. The severe pain was relieved, although the tumor was not reduced. In this case, the extra-axial tumor was fed only by the internal carotid artery.
- 日本脳神経外科学会の論文
- 2006-05-15
著者
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ABE Toshiaki
Department of Neurosurgery, The Jikei University School of Medicine
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TANAKA Toshihide
Department of Neurosurgery, Jikei University School of Medicine Kashiwa Hospital
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Abe Toshiaki
Department Of Neurosurgery Jikei University School Of Medicine
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田中 俊英
Department Of Neurosurgery Atsugi Prefectural Hospital
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KAKU Shougo
Department of Neurosurgery, National Hospital Organization, Yokohama Medical Center
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SAWAUCHI Satoshi
Department of Neurosurgery, Jikei University Kashiwa Hospital
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MURAKAMI Shigeyuki
Department of Neurosurgery, Jikei University Kashiwa Hospital
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OHTUKA Toshihiro
Department of Neurosurgery, Jikei University School of Medicine, Kashiwa Hospital
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SEKI Koujirou
Department of Neurosurgery, Jikei University School of Medicine, Kashiwa Hospital
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NUMOTO Robert
Department of Neurosurgery, Jikei University School of Medicine, Kashiwa Hospital
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KOMINE Kazumasa
Department of Pathology, Jikei University School of Medicine, Kashiwa Hospital
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Kaku Shougo
Department Of Neurosurgery National Hospital Organization Yokohama Medical Center
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Seki Koujirou
Department Of Neurosurgery Jikei University School Of Medicine Kashiwa Hospital
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Numoto Robert
Department Of Neurosurgery Jikei University School Of Medicine Kashiwa Hospital
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Tanaka Toshihide
Department Of Neurosurgery Jikei University School Of Medicine Kashiwa Hospital
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Tanaka Toshihide
Department Of Neurosurgery Jikei University School Of Medicine
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Tanaka Toshihide
Division Of Cancer Pharmacology Dona-farber Cancer Institute Harvard Medical School:department Of Ne
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Ohtuka Toshihiro
Department Of Neurosurgery Jikei University Kashiwa Hospital
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Sawauchi Satoshi
Department Of Neurosurgery Jikei University Kashiwa Hospital
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Murakami Shigeyuki
Department Of Neurosurgery Jikei University Kashiwa Hospital
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Komine Kazumasa
Department Of Clinical Pathology Jikei University Kashiwa Hospital
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Komine Kazumasa
Department Of Pathology Jikei University School Of Medicine Kashiwa Hospital
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阿部 俊昭
Department Of Neurosurgery Jikei University School Of Medicine
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Tanaka Toshihide
Department Of Neurosurgery Jikei University Kashiwa Hospital
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