Krska Z, Pesková M, Povýsil C, Horejs J, Sedlácková E, Kudrnová Z
First Surgical Department of the First Faculty of Medicine, Charles University in Prague, and General Teaching Hospital, Czech Republic.
Prague Med Rep. 2005;106(2):201-8.
Authors present the case (from the year 2003) of a 38 years old patient, female with large tumor in the abdominal cavity. Preoperative differential diagnostic examination showed either tumor of pancreas or left liver lobe. The surgery confirmed large tumor body of the pancreas. Histological and immunohistochemical examination determined gastrointestinal stromal tumor (GIST) of the pancreas from autonomous nerves with malignant character. Tumor was radically removed. In the postoperative period regular follow up was done at the department of oncology, abdominal ultrasound every 3 months, CT scan every 6 month. 2.5 years after operation the patient has no problems, CT scan is without signs of recurrent diseases. The analysis of GIST was performed in agreement with contemporary knowledge. According to the references, our case report GIST of pancreas is the first of this kind (till 2003).
作者介绍了一例(2003年的)病例,患者为38岁女性,腹腔内有巨大肿瘤。术前鉴别诊断检查显示肿瘤可能来自胰腺或左肝叶。手术证实为胰腺巨大肿瘤体。组织学和免疫组化检查确定为来自自主神经的具有恶性特征的胰腺胃肠道间质瘤(GIST)。肿瘤被根治性切除。术后在肿瘤科进行定期随访,每3个月进行一次腹部超声检查,每6个月进行一次CT扫描。术后2.5年患者无任何问题,CT扫描未显示复发迹象。GIST分析是根据当代知识进行的。根据参考文献,我们的胰腺GIST病例报告是此类首例(截至2003年)。