Wada Yousuke, Koizumi Tomonobu, Yokoyama Toshiki, Urushihata Kazuhisa, Yamamoto Hiroshi, Hanaoka Masayuki, Kubo Keishi
The First Department of Internal Medicine, Shinshu University School of Medicine, Japan.
Intern Med. 2012;51(17):2407-10. doi: 10.2169/internalmedicine.51.7888. Epub 2012 Sep 1.
Although rare, gastrointestinal stromal tumors (GIST) are the most common mesenchymal tumors of the gastrointestinal tract. The asynchronous occurrence of other malignancies in patients with GIST during the clinical course is relatively common. However, the synchronous coexistence of GIST and lung cancer has only rarely been reported. We experienced a case of coincidental primary lung adenocarcinoma and intestinal GIST. The present case is not only of interest due to the rare coincidence of GIST and lung cancer, but also because there was an epidermal growth factor receptor gene mutation in the lung cancer and a c-kit mutation in the GIST.
尽管胃肠道间质瘤(GIST)较为罕见,但却是胃肠道最常见的间叶组织肿瘤。GIST患者在临床病程中出现其他恶性肿瘤的情况相对常见。然而,GIST与肺癌同时存在的情况却鲜有报道。我们遇到了一例原发性肺腺癌与肠道GIST巧合并存的病例。本病例不仅因其GIST与肺癌罕见的巧合而引人关注,还因为肺癌存在表皮生长因子受体基因突变,而GIST存在c-kit基因突变。