Annals of Internal Medicine: Clinical Cases (Apr 2022)

A Giant Posterior Mediastinal Metastatic Mass of GIST Gastric Origin

  • Samender Randhawa,
  • Abeeha Naqvi,
  • Mathew Thomas,
  • Prashanth Ashok Kumar,
  • Rahul Seth

DOI
https://doi.org/10.7326/aimcc.2022.0016
Journal volume & issue
Vol. 1, no. 2

Abstract

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Gastrointestinal stromal tumors (GISTs) are uncommon visceral sarcomas that predominantly arise from the gastrointestinal tract, particularly from interstitial cells of Cajal. Although the liver is a common site for metastasis, rarely GISTs show extraintestinal manifestation in the bone and lungs. We report a case patient with an uncommon location and unusually large GIST metastasis as a mediastinal mass 3 years after undergoing total gastrectomy and chemotherapy with imatinib, a tyrosine kinase inhibitor.