Advertisement
Correspondence| Volume 53, ISSUE 6, P796-798, June 2021

Jejunal gastrointestinal stromal tumor with rectal lymph nodes metastases synchronous to intestinal adenocarcinoma: a possible common origin

Published:April 23, 2021DOI:https://doi.org/10.1016/j.dld.2021.03.032
      Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasms of the gastrointestinal (GI) tract. They originate from the interstitial cells of Cajal and may develop anywhere along the GI tract [
      • Vassos N.
      • Agaimy A.
      • Hohenberger W.
      • et al.
      Coexistence of gastrointestinal stromal tumours (GIST) and malignant neoplasms of different origin: prognostic implications.
      ,
      • Arnogiannaki N.
      • Martzoukou I.
      • Kountourakis P.
      • et al.
      Synchronous presentation of GISTs and other primary neoplasms: a single center experience.
      , although accounting for only 0,1–3% of all GI neoplasms [
      • Diamantis A.
      • Bouliaris K.
      • Christodoulidis G.
      • et al.
      Gastrointestinal stromal tumors and synchronous intra-abdominal malignancies: review of the literature.
      ]. Involvement of regional and peripheral lymph nodes is unusual (1–2%) [
      • Vassos N.
      • Agaimy A.
      • Hohenberger W.
      • et al.
      Coexistence of gastrointestinal stromal tumours (GIST) and malignant neoplasms of different origin: prognostic implications.
      ]. The coexistence of GIST with either synchronous or metachronous colorectal cancers has been previously described only in few cases [
      • Vassos N.
      • Agaimy A.
      • Hohenberger W.
      • et al.
      Coexistence of gastrointestinal stromal tumours (GIST) and malignant neoplasms of different origin: prognostic implications.
      ,
      • Arnogiannaki N.
      • Martzoukou I.
      • Kountourakis P.
      • et al.
      Synchronous presentation of GISTs and other primary neoplasms: a single center experience.
      ,
      • Diamantis A.
      • Bouliaris K.
      • Christodoulidis G.
      • et al.
      Gastrointestinal stromal tumors and synchronous intra-abdominal malignancies: review of the literature.
      ,
      • Du J.
      • Shen N.
      • He H.S.
      • et al.
      Synchronous gastrointestinal cancer and gastrointestinal stromal tumors: a single-institution experience.
      ,
      • Shen C.
      • Chen H.
      • Yin Y.
      • et al.
      Synchronous occurrence of gastrointestinal stromal tumors and other digestive tract malignancies in the elderly.
      ,
      • Ferreira S.S.
      • Werutsky G.
      • Toneto M.G.
      • et al.
      Synchronous gastrointestinal stromal tumors (GIST) and other primary cancers: case series of a single institution experience.
      ,
      • Liszka Ł.
      • Zielińska-Pajak E.
      • Pajak J.
      • et al.
      Coexistence of gastrointestinal stromal tumors with other neoplasms.
      ]. The question of whether such an occurrence is coincidental or results from related pathophysiological processes should still be addressed. Here, we describe a patient presenting synchronous jejunal GIST and rectal adenocarcinoma with GIST metastases in perirectal lymph nodes and in the peritoneum. By next generation sequencing (NGS) analysis of the samples, we detected common mutations, bona fide supporting the view of unique signaling pathway alterations.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Digestive and Liver Disease
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Vassos N.
        • Agaimy A.
        • Hohenberger W.
        • et al.
        Coexistence of gastrointestinal stromal tumours (GIST) and malignant neoplasms of different origin: prognostic implications.
        Int J Surg. 2014; 12: 371-377
        • Arnogiannaki N.
        • Martzoukou I.
        • Kountourakis P.
        • et al.
        Synchronous presentation of GISTs and other primary neoplasms: a single center experience.
        In Vivo (Brooklyn). 2010; 24: 109-115
        • Diamantis A.
        • Bouliaris K.
        • Christodoulidis G.
        • et al.
        Gastrointestinal stromal tumors and synchronous intra-abdominal malignancies: review of the literature.
        J BUON. 2018; 23: 1573-1579
        • Du J.
        • Shen N.
        • He H.S.
        • et al.
        Synchronous gastrointestinal cancer and gastrointestinal stromal tumors: a single-institution experience.
        World J Surg Oncol. 2016; 14: 130
        • Shen C.
        • Chen H.
        • Yin Y.
        • et al.
        Synchronous occurrence of gastrointestinal stromal tumors and other digestive tract malignancies in the elderly.
        Oncotarget. 2015; 6: 8397-8406
        • Ferreira S.S.
        • Werutsky G.
        • Toneto M.G.
        • et al.
        Synchronous gastrointestinal stromal tumors (GIST) and other primary cancers: case series of a single institution experience.
        Int J Surg. 2010; 8: 314-317
        • Liszka Ł.
        • Zielińska-Pajak E.
        • Pajak J.
        • et al.
        Coexistence of gastrointestinal stromal tumors with other neoplasms.
        J Gastroenterol. 2007; 42: 641-649
        • Nagtegaal I.D.
        • Odze R.D.
        • Klimstra D.
        • et al.
        WHO classification of tumours editorial board. The 2019 WHO classification of tumours of the digestive system.
        Histopathology. 2020; 76: 182-188
        • Kawanowa K.
        • Sakuma Y.
        • Sakurai S.
        • et al.
        High incidence of microscopic gastrointestinal stromal tumors in the stomach.
        Hum Pathol. 2006; 37: 1527-1535
        • Meyers M.A.
        Intraperitoneal spread of malignancies.
        Dynamic radiology of the abdomen. Springer, New York, NY1988