Case Report
Copyright ©2007 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Apr 7, 2007; 13(13): 2011-2013
Published online Apr 7, 2007. doi: 10.3748/wjg.v13.i13.2011
Development of multiple myeloma in a patient with gastrointestinal stromal tumor treated with imatinib mesylate: A case report
D Tzilves, A Gatopoulou, K Zervas, E Katodritou, F Patakiouta, A Tarpagos, I Katsos
D Tzilves, A Gatopoulou, A Tarpagos, I Katsos, Department of Gastroenterology, Theagenio Cancer Hospital, 2 Al. Simeonidi 54007, Thessaloniki, Greece
K Zervas, E Katodritou, Department of Hematology, Theagenio Cancer Hospital, 2 Al. Simeonidi 54007, Thessaloniki, Greece
F Patakiouta, Department of Pathology, Theagenio Cancer Hospital, 2 Al. Simeonidi 54007, Thessaloniki, Greece
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Anthia Gatopoulou, Theagenio Cancer Hospital, 2, Al. Simeonidi 54007, Thessaloniki, Greece. gatop@otenet.gr
Telephone: +30-2310-898412 Fax: +30-2310-898408
Received: February 1, 2007
Revised: February 23, 2007
Accepted: March 8, 2007
Published online: April 7, 2007
Abstract

Gastrointestinal stromal tumors (GISTs) are rare tumors, which represent approximately 1% of the neoplasms of the gastrointestinal tract. These tumors rarely give extra-abdominal metastases. However, their clinical outcome is potentially adverse. In some rare cases, co-existance of GISTs with other malignancies has been reported. Here we present a case of a 74-year old male with GIST, which was managed by surgical resection. Fourteen months later, the patient presented with liver metastases and imatinib mesylated was administered. During treatment, the patient reported skeletal pain and plane X-rays revealed osteolytic bone lesions. Further investigation revealed the presence of multiple myeloma. To the best of our knowledge, this is the first report of the co-existence of multiple myeloma (MM) with GIST.

Keywords: Gastrointestinal stromal tumor; Multiple myeloma; Imatinib mesylate