扩散膜分布与出血的胃肠外 stromal 瘤:一个病例报告
Jian-Duo Xu1, Zheng Wang2, Qian Zhou3
1Department of Gastrointestinal Surgery, Shijiazhuang People's Hospital, Shijiazhuang 050000, Hebei Province, China.
World journal of clinical cases
|September 17, 2024
概括
这份病例报告详细介绍了一种罕见的胃肠外 stromal 瘤 (EGIST),在腹腔中被广泛发现. 用伊马替尼布治疗显示症状显著改善和瘤减少.
科学领域:
- 胃肠道瘤学 胃肠道瘤学
- 手术病理学手术病理学
- 医学遗传学 医学遗传学
背景情况:
- 胃肠外 stromal 瘤 (EGIST) 与胃肠外 stromal 瘤具有病理上的相似之处.
- EGISTs是罕见的瘤,可以在胃肠道或相邻结构的任何地方出现.
研究的目的:
- 报告一种罕见的胃肠外 stromal 瘤 (EGIST) 病例,其腹膜分布扩散.
- 要突出与这种罕见的呈现相关的诊断和治疗挑战和结果.
主要方法:
- 一名71岁的男性患者出现腹部疼痛.
- 诊断成像包括正子发射断层扫描-计算机断层扫描 (CT) 和增强型CT扫描.
- 手术后的病理检查证实了EGIST,随后进行了伊马替尼治疗.
主要成果:
- 图像检测显示腹腔腔中有多个结节,扩大的淋巴结和肺结节.
- 发现碳水化合物抗原125水平升高.
- 患者经历了血,术后病理学证实了EGIST.
结论:
- 基因测试发现了乳腺癌易感性基因1相互作用蛋白C终端酶1和KIT的变异.
- 伊马替尼布治疗导致症状缓解和显著减少瘤负担,由成像证实.
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