Malignant Gastrointestinal Stromal Tumor Originating in the Lesser Omentum, Complicated by Rapidly Progressive Glomerulonephritis and Gastric Carcinoma

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  • NAKAYA Izaya
    Department of Internal Medicine, Kanazawa Municipal Hospital
  • IWATA Yasunori
    Department of Internal Medicine, Kanazawa Municipal Hospital
  • ABE Toshio
    Department of Internal Medicine, Kanazawa Municipal Hospital
  • YOKOYAMA Hitoshi
    Department of Gastroenterology and Nephrology Kanazawa University Graduate School of Medical Science
  • ODA Yoshio
    Department of Molecular and Cellular Pathology Kanazawa University Graduate School of Medical Science
  • NOMURA Gakuji
    Department of Internal Medicine, Kanazawa Municipal Hospital

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A 69-year-old man was admitted with a large elastic mass in the upper abdomen. Computed tomography revealed a massive tumor in contact with the liver and gastrointestinal endoscopy revealed a gastric adenocarcinoma. He developed acute renal failure with massive proteinuria and died with a marked enlargement of the tumor. Autopsy revealed a tumor located in the lesser omentum. The tumor was considered to be a Gastrointestinal Stromal Tumor (GIST) because it was positive for c-kit. In addition, crescent formations and immune complexes in glomeruli were observed. We report the first case of GIST complicated by rapidly progressive glomerulonephritis and gastric carcinoma.

収録刊行物

  • Internal Medicine

    Internal Medicine 43 (2), 102-105, 2004

    一般社団法人 日本内科学会

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