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World J Gastroenterol ; 23(10): 1920-1924, 2017 Mar 14.
Article in English | MEDLINE | ID: mdl-28348499

ABSTRACT

Gastrointestinal stromal tumors (GISTs) represent the most common mesenchymal tumors of the alimentary tract. These tumors may have different clinical and biological behaviors. Malignant forms usually spread via a hematogenous route, and lymph node metastases rarely occur. Herein, we report a patient with a jejunal GIST who developed supraclavicular lymph node metastasis. We conclude that lymphatic diffusion via the mediastinal lymphatic station to the supraclavicular lymph nodes can be a potential metastatic route for GISTs.


Subject(s)
Gastrointestinal Stromal Tumors/complications , Gastrointestinal Stromal Tumors/pathology , Melena/etiology , Stomach Neoplasms/complications , Stomach Neoplasms/pathology , Antineoplastic Agents/administration & dosage , Antineoplastic Agents/therapeutic use , Biopsy, Needle , Chemotherapy, Adjuvant , Erythrocyte Transfusion , Gastrointestinal Stromal Tumors/diagnosis , Gastrointestinal Stromal Tumors/therapy , Humans , Imatinib Mesylate/administration & dosage , Imatinib Mesylate/therapeutic use , Jejunum/pathology , Jejunum/surgery , Lymph Nodes/pathology , Lymphatic Metastasis , Male , Melena/therapy , Middle Aged , Neck Dissection , Neoplasm Grading , Positron Emission Tomography Computed Tomography , Stomach Neoplasms/diagnosis , Stomach Neoplasms/therapy , Ultrasonography
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