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Gastrointestinal Stromal Tumor with Metastases in an Adult Woman Treated with Imatinib Mesylate: MDCT Findings

¹ Servicio de Radiodiagnóstico, Hospital Morales Meseguer, C/Marqués de los Vélez s/n, Murcia 30008, Spain.
² Servicio de Anatomía Patológica, Hospital Morales Meseguer, Murcia 30008, Spain.

View larger version (168K): [in a new window]   Fig. 1. —59-year-old woman with stromal tumor of jejunal wall and omental and peritoneal metastases. Sonographic image shows multiple mesenteric nodules, some of which contain stromal calcification (white arrow) or cystic degeneration (black arrow). Marked omental thickening with lobulated contours (asterisk) is seen.

View larger version (130K): [in a new window]   Fig. 2. —59-year-old woman with stromal tumor of jejunal wall and omental and peritoneal metastases. MDCT scan shows striking omental thickening (asterisk) caused by confluence of multiple nodules. Multiple mesenteric nodules (white arrowhead) and cystic mass with peripheral calcification adjacent to cecum (black arrow) are also seen.

View larger version (150K): [in a new window]   Fig. 3. —59-year-old woman with stromal tumor of jejunal wall and omental and peritoneal metastases. Gross photograph of lobulated tumor with hemorrhagic and necrotic areas (4 x 3 x 3 cm) in interior.

View larger version (177K): [in a new window]   Fig. 4A. —59-year-old woman with stromal tumor of jejunal wall and omental and peritoneal metastases. MDCT scan at same level as in Figure 2. Images show decrease in size of nodules at 2 months (A), progressive calcification that began as central dots (white arrows) at 5 months (B), and complete calcification of nodules at 18 months (C). In B, thick arrows indicate omental calcifications, thin arrow indicates mesenteric calcification.

View larger version (186K): [in a new window]   Fig. 4B. —59-year-old woman with stromal tumor of jejunal wall and omental and peritoneal metastases. MDCT scan at same level as in Figure 2. Images show decrease in size of nodules at 2 months (A), progressive calcification that began as central dots (white arrows) at 5 months (B), and complete calcification of nodules at 18 months (C). In B, thick arrows indicate omental calcifications, thin arrow indicates mesenteric calcification.

View larger version (191K): [in a new window]   Fig. 4C. —59-year-old woman with stromal tumor of jejunal wall and omental and peritoneal metastases. MDCT scan at same level as in Figure 2. Images show decrease in size of nodules at 2 months (A), progressive calcification that began as central dots (white arrows) at 5 months (B), and complete calcification of nodules at 18 months (C). In B, thick arrows indicate omental calcifications, thin arrow indicates mesenteric calcification.

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