在例行结肠镜检查中发现了一种罕见的直肠胃肠道瘤 (GIST) 病例
Youssef Ghobrial1, Rasiq Zackria2, Sukhjinder Chauhan1
1Internal Medicine, MountainView Hospital, Las Vegas, USA.
Cureus
|July 31, 2023
概括
胃肠道 stromal 瘤 (GIST) 是罕见的. 本病例报告详细介绍了在例行结肠镜检查期间诊断的直肠GIST,强调了早期检测这种不常见的恶性瘤的重要性.
科学领域:
- 胃肠道学和瘤学
- 手术病理学手术病理学
背景情况:
- 胃肠道 stromal 瘤 (GISTs) 是最常见的胃肠道介质瘤,但在整体上很少见 (0.1% - 3% 的胃肠道恶性瘤).
- 直肠GIST异常罕见,大多数GIST发生在胃中.
- 发病率的增加可能与改善的诊断方式有关.
研究的目的:
- 报告一个罕见的直肠GIST病例在一个50岁的女性.
- 突出诊断过程和直肠GIST的病理发现.
- 为了强调常规结肠镜检查在检测胃肠道瘤中的重要性.
主要方法:
- 一个50岁的女性间歇性便秘和直肠疼痛的案例介绍.
- 诊断性结肠镜检查显示了下粘膜下直肠质.
- 免疫组织化学分析证实了对CD34和CD117.7阳性的状细胞瘤.
主要成果:
- 对直肠GIST的诊断.
- 瘤是轻微细胞化的,具有特征性的免疫组织化学标志物.
- 患者的症状归因于直肠质量.
结论:
- 结直肠GIST虽然很少见,但应在结直肠质的差异诊断中考虑.
- 常规结肠镜检查对于早期检测胃肠病变至关重要,包括罕见的GIST.
- 对GIST风险因素,病原和常见部位的进一步研究是有必要的.
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