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Eur J Cardiothorac Surg 2002;22:1014-1016
© 2002 Elsevier Science NL


Case report

Gastrointestinal stromal tumor of the posterior mediastinum

Jeffrey R. Leea,1*, Mark P. Anstadtb, Shamsuddin Khwajac, Linda K. Greend

a Veterans Affairs Medical Center, Institute of Molecular Medicine and Genetics and Department of Pathology, Medical College of Georgia, Augusta, GA, USA
b Department of Surgery, Division of Cardiothoracic Surgery, Medical College of Georgia, Augusta, GA, USA
c Department of Surgery, Division of Cardiothoracic Surgery, Veterans Affairs Medical Center, Baylor College of Medicine, Houston, TX, USA
d Department of Pathology, Veterans Affairs Medical Center, Baylor College of Medicine, Houston, TX, USA

Received 27 June 2002; received in revised form 17 August 2002; accepted 23 August 2002.

* Corresponding author. Tel.: +1-706-823-2232; fax: +1-706-823-3965
e-mail: jlee{at}mail.mcg.edu

Gastrointestinal stromal tumor (GIST) is a rare, but potentially aggressive tumor. We present an asymptomatic 64-year-old man with an incidental 9-cm GIST that arose in the posterior mediastinum. Wide surgical excision was performed with rotation of an intercostal muscle flap to buttress a surgically created esophageal wall defect. The patient is now free of disease 26 months postoperative. This tumor is defined by the carcinogenic over-expression of KIT-protein, a tyrosine kinase receptor. Accurate diagnosis of gastrointestinal stromal tumor is imperative, as specific medical therapy is now available for potential control of recurrent or metastatic disease.

Key Words: Gastrointestinal stromal tumor (GIST) • Gastrointestinal autonomic nerve tumor (GANT) • KIT • Mediastinum • Esophagus




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