Case Report

Metastatic Cerebellar Gastrointestinal Stromal Tumor with Obstructive Hydrocephalus Arising from the Small Intestine: A Case Report and Review of the Literature

Table 1

List of published cases of metastatic gastrointestinal stromal tumors (GISTs) in the central nervous system (CNS).

NumberAge (years)SexPrimary siteSystemic metastasisCNS siteSize of CNS tumor (cm)Interval between diagnosis of primary and diagnosis of CNS metastasisTreatment for CNS tumorMutational statusSurvival prognosis after diagnosis of CNS metastasisReferences

175MMesenteryLiverBoth hemispheresInfiltrative14 monthsImatinib 800 mg/dayNACR (4 months) Brooks et al. (2002) [12]

270MStomachLungLeft occipital lobe5.510 yearsTotal resection, radiationNA8 monthsInage et al. (2002) [17]

347MJejunumLiverLeft parasagittalND25 monthsTotal resection, imatinib 800 mg/dayKIT (exon 9)35 monthsHughes et al. (2004) [16]

460MSmall intestineLumbosacral vertebrae (L5-S1)Left cavernous sinusND7 yearsRadiation (54 Gy)NA8 monthsAkiyama et al. (2004) [9]

576MDuodenum and jejunumNDRight parietal, right cerebellar hemisphere24 monthsImatinib 400 mg/day, radiation (40 Gy)No mutation in KIT (exon 11)4 monthsKajikawa et al. (2005) [19]

668FPerisacralNDRight parietal lobe32 yearsTotal resection, imatinib 800 mg/dayNACRKaku et al. (2006) [20]

742MMesenteryNDRight parietal lobe3.5Mesentery lesion later discoveredTotal resection, radiation (60 Gy), imatinib 600 mg/dayNA10 monthsPuri et al. (2006) [21]

845MSmall intestineNDPontomedullary junction, cerebellum, leptomeningeal 25 yearsImatinib 800 mg/dayNA2 monthsGerin et al. (2007) [15]

949FMesenteryLiverLeft eye, brain0.243 yearsImatinib 400 mg/dayNA9 monthsGentile et al. (2008) [14]

1054FEsophagusLiverLeft frontal lobe56 yearsTotal resection, imatinib 400 mg/day, SRTKIT (exon 11)CR (6 months)Hamada et al. (2010) [10]

1177MJejunumNDRight cerebral peduncle,
left occipital lobe
2.4
2.2
Jejunum lesion
later discovered
Total resection, radiation (39 Gy), imatinib 400 mg/dayNo mutation in KIT (exons 11, 13, 17, and 19), and PDGFR4 monthsNaoe et al. (2011) [11]

1226MDuodenumLiverLeft frontotemporal6.1 × 4.16 yearsTotal resection, radiationNACR (4 months)Wong and Chu (2011) [22]

1315MStomachLiverRight frontoparietal4.2 × 3.312 yearsTotal resection, sorafenib 800 mg/day, sunitinib 37.5 mg/dayNo mutation in KIT (exons 9, 11, 13, and 17), and PDGFR (exons 12, 14, and 18)CR (6 months)Jagannathan et al. (2012) [18]

1474MJejunumLiverRight prefrontal gyrus1.5 × 1.46 yearsSunitinib 50 mg/day, SRSNACR (9 months)Takeuchi et al. (2013) [8]

1557MStomachNDLeft cerebellar, Left frontal313 monthsTotal resection, SRS (18 Gy)NACR (15 months)Drazin et al. (2013) [13]

1680MSmall intestineCardiac apex, subclavialCerebellar vermis, Right frontal4Small intestine lesion later discoveredTotal resection, RT (22 Gy)NA4 monthspresent case

CR, complete remission; F, female; M, male; NA, not analyzed; ND, not described; SRS, stereotactic radiosurgery; SRT, stereotactic radiotherapy.