Gastrointestinal stromal tumor

M. Dranga, C. Mihai, C. Cijevschi, Iulian Bejinariu, A. Andronic, O. Gavrilescu
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Abstract

Stromal tumors are the most common mesenchymal tumors in the digestive tract. Epidemiological data have shown an incidence of 11-20 per million people, the average age of diagnosis being 58 years. The location of these tumors can be anywhere on the gastrointestinal tract. The positive diagnosis is established by histopathological and immunohistochemical examination. The evolution of patients is correlated with the size of the initial tumor, the mitotic index and the topographic location. We present the case of a patient with an old anemic syndrome, considered deficiency anemia, with multiple hospitalizations, without response to substitution therapy that suddenly developed ascites. CT scan of the abdomen revealed a large abdominal tumor with jejunal origin. The positive diagnosis was established postoperatively by correlating the histopathological aspects with the immunohistochemical tests. The postoperative evolution was marked by complications, and one week later, the patient died secondary to a jejuno-colic fistula.
胃肠道间质瘤
间质肿瘤是消化道最常见的间质肿瘤。流行病学数据显示,发病率为每百万人11-20人,平均诊断年龄为58岁。这些肿瘤的位置可以在胃肠道的任何地方。通过组织病理学和免疫组织化学检查确定阳性诊断。患者的演变与初始肿瘤的大小、有丝分裂指数和地理位置有关。我们提出一个病例的病人与一个古老的贫血综合征,被认为缺乏性贫血,多次住院治疗,没有反应的替代治疗,突然发展腹水。腹部CT扫描显示一个大的腹部肿瘤,起源于空肠。通过将组织病理学检查与免疫组织化学检查相结合,确定了术后的阳性诊断。术后发展的特点是并发症,一周后,患者死于空肠-结肠瘘。
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