Gastrointestinal stromal tumour metastatic to the epididymis. (23rd September 2015)

• Record Type: Journal Article
• Authors: Ahmad, Ali; Libbey, Norman Peter; Somasundar, Ponnandai; Katz, Steven C
• Is Part Of: BMJ case reports. Volume 2015
• Publication Date: 2015-09-23
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2015-211555
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Gastrointestinal stromal tumours (GIST) are mesenchymal neoplasms with a propensity to metastasise to the liver and peritoneal cavity. Since the advent of tyrosine kinase inhibitors, outcomes for patients with metastatic GIST have improved dramatically. Secondary to the longevity in survival, patients may develop metastatic disease in very unusual locations, which poses significant diagnostic dilemmas and management challenges. We report a case of a patient with GIST who presented with an epididymal metastasis manifesting as a scrotal mass. Resistance to targeted medical therapies continues to pose a challenge, and our case highlights the importance of a multidisciplinary approach in such patients, including long-term follow-up.