胃肠道间质瘤孤立性腹部伤口转移
Isolated abdominal wound metastasis from a gastrointestinal stromal tumor.
作者信息
Cunningham Steven C, Shibata David, Volpe Carmine
机构信息
Division of Surgical Oncology, Department of Surgery, University of Maryland Medical System, 22 South Greene Street, Baltimore, MD 21201, USA.
出版信息
Int J Gastrointest Cancer. 2003;33(2-3):129-32. doi: 10.1385/IJGC:33:2-3:129.
BACKGROUND
Gastrointestinal stromal tumors (GIST) frequently recur even after complete resection. The typical pattern of failure from GISTs is both local and distant with hepatic and peritoneal metastases being most common. Isolated abdominal-wall recurrence from GISTs has not been previously described.
AIM OF THE STUDY
To report an isolated abdominal-wound recurrence in the absence of widespread disease in a patient with GIST.
METHODS
Case report of a GIST and isolated abdominal-wound recurrence after laparoscopic-assisted en bloc resection.
RESULTS
Elderly male patient presented with an isolated abdominal wall incisional recurrence 18 mo after gastric resection and adjuvant imatinib mesylate therapy for a high-grade GIST.
CONCLUSIONS
Complete resection of gastrointestinal stromal tumors followed by imatinib therapy may alter the extent of recurrence.
背景
胃肠道间质瘤（GIST）即使在完全切除后也经常复发。GIST典型的复发模式是局部和远处复发，肝转移和腹膜转移最为常见。此前尚未有关于GIST孤立性腹壁复发的报道。
研究目的
报告1例GIST患者在无广泛病变情况下出现的孤立性腹部伤口复发。
方法
1例GIST患者腹腔镜辅助整块切除术后出现孤立性腹部伤口复发的病例报告。
结果
老年男性患者，因高级别GIST行胃切除及辅助甲磺酸伊马替尼治疗18个月后出现孤立性腹壁切口复发。
结论
胃肠道间质瘤完全切除后联合伊马替尼治疗可能会改变复发程度。
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