Review of a non-epithelial tumour of the small bowel after c-kit revolution
Enrico Fiori 1, Daniele Ferraro 1, Alessandro De Cesare 1, Giovanni Leone 1, Cecilia Barmann 1, Alberto Schillaci 1, Francesco Borrini 1
Affiliation
Article Info
1 Department of Surgery “Pietro Valdoni”, “Sapienza” University of Rome, Rome, Italy
Abstract
In this article, we reviewed the case of a patient who was object, in 1999, of a published case report of schwannoma of the jejunal wall. Recently, the patient has been referred to our institution for a mass of the stomach identified by upper gastrointestinal endoscopy. The patient underwent a wedge resection of the stomach and a histopathological diagnosis of GIST of the stomach, based on a positive immunohistochemical staining of c-kit and CD34, was made. In consideration of these findings, we performed immunohistochemistry for c-kit and for CD34 on the previous lesion of the jejunal wall, which resulted strongly positive for CD117 and negative for CD34. A new diagnosis of gastrointestinal stromal tumour (GIST) of jejunal wall with moderate risk of progression was made. The lesion was also classified, according to the AJCC Seventh Edition, as a pT3, pN0, Stage II, GIST. This case shows the importance of a reassessment of the diagnosis of mesenchymal neoplasm of the small intestine made before the development of anti-CD117 antibody for a correct prognostic stratification, a better therapeutic management and a close follow-up, if necessary.
Keywords
- Adjuvant therapy
- c-kit
- GIST Imatinib
