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胃肠道流体瘤 (GIST) 伪装为胰腺伪囊:一个罕见的病例报告

Sarthak Sharma¹, Varun Shetty¹, Iqbal M Ali¹

¹General Surgery, Dr. D.Y. Patil Medical College Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, IND.

|September 9, 2024

概括

本案例研究详细介绍了在胃中发现的一种罕见的恶性上皮质肠道 stromal 瘤 (GIST). 手术切除和伊马替尼布治疗是控制这种侵袭性介质细胞瘤的关键.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
病理学病理学病理学

背景情况:

胃肠道 stromal 瘤 (GIST) 是最常见的肠道介质瘤,虽然相对罕见.
恶性表皮性GIST是一种不常见的亚型,具有潜在的攻击性行为.

研究的目的:

报告一种罕见的恶性上皮状GIST病例,呈现为囊性病变.
突出GISTs的诊断和管理挑战.
讨论侵略性GIST的手术和辅助治疗方法.

主要方法:

一个62岁的女性的病例介绍,她有腹部疼痛和可触摸的质量.
诊断工作包括放射性成像和组织病理学检查 (HPE).
手术切除 (子总胃切除,GJ,JJ,切除) 以手术内冷切除为指导,随后进行免疫组织化学分析 (IHC) 和辅助性意马替尼布化疗.

主要成果:

组织病理学证实一种来自胃的恶性表皮性GIST具有攻击性特征 (高线粒活性,肝脏透).
免疫组织化学显示CD117的阳性和CD34,Desmin和DOG-1的阴性.
患者经历了成功的手术切除和辅助意马提尼布治疗.

结论:

恶性表皮性GIST可以异常呈现,需要迅速的手术干预.
包括手术,病理学和辅助治疗在内的多学科管理对于积极的GIST至关重要.
CD117阳性是GIST的标志,有助于诊断.

关键词:

这种类型的表皮质类型的表皮质.胃肠道 stromal 瘤 (胃肠) 是一种疾病.介质细胞瘤中介细胞瘤.很少见很少见很少见很少见固体瘤是一种固体瘤.

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