胃肠道 stromal 瘤:呈现为卵巢细胞瘤
Sneha Jawalkar1, Rachana Karajagi2, Surekha Ulhas Arakeri2
1Pathology, BLDE(Deemed to be University) Shri B M Patil Medical college, Hospital and Research centre, Vijayapura, Karnataka, India sneha.jawalkar@bldedu.ac.in.
BMJ case reports
|November 30, 2023
概括
一种罕见的胃肠道 stromal 瘤 (GIST) 呈现为一个老年妇女的大盆腔质量,最初模仿妇科病情. 组织病理学证实了GIST在外科切除后起源于大肠.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 胃肠道 stromal 瘤 (GIST) 是胃肠道的一种罕见的介质瘤.
- GIST很少表现为盆腔质量,可能导致女性患者误诊为妇科疾病.
研究的目的:
- 报告一例胃肠道 stromal 瘤,呈现为一个大的盆腔质量.
- 突出考虑GIST在女性盆腔质量差异诊断中的重要性.
主要方法:
- 一个70多岁的女性的病例报告,她有一个巨大的盆腔质量.
- 诊断成像包括腹部和骨盆CT扫描.
- 手术干预涉及一个探索性腹腔切除术和骨盆质切除术.
- 确定的诊断是通过组织病理学建立的.
主要成果:
- CT扫描显示了显著的囊性盆腔质量与质量效应,最初表明卵巢细胞瘤.
- 瘤标志物CA-125在正常范围内.
- 组织病理学证实了这种质量是来自大肠的胃肠道 stromal 瘤.
结论:
- 胃肠道 stromal 瘤可以异常呈现为盆腔质量,挑战妇科诊断.
- 多学科评估和组织病理学分析对于精确诊断罕见的GIST呈现至关重要.
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