Allievi Alberto, Araya Valentina, Calvar Cecilia, Cimino Conrado, Delle Piane Hugo, Diaz Gabriela, Gianni Marta, Prudkin Ludmila
Unidad A de Clínica Medica, Servicio de Cirugía General, Sección Endocrinología, Servicio de Gastroenterología, Servicio de Patología, Hospital Juan A. Fernández, Buenos Aires.
Medicina (B Aires). 2006;66(1):43-5.
The case of young woman with arterial hypertension diagnosed two years before, is here presented; she had a ferropenic anemia caused by digestive loss of blood. Multiple gastric tumors and pararenal non functioning paraganglioma were found. No chondromas were detected. An incomplete Carney's Triad was diagnosed. We remark that multiple gastric tumors in a young adult suggest the possibility of gastrointestinal stromal tumors (GIST) Endoscopic biopsy frequently is not effective because these tumors are deep placed in the muscular gastric layers. The importance of specific techniques for a positive diagnosis are emphasized. Continuous follow up is needed because these tumors have uncertain prognosis. Lung chondromas may appear years later after the GIST was removed and might be confused with GIST metastases.
本文介绍了一名两年前被诊断为动脉高血压的年轻女性病例;她患有因消化道失血导致的缺铁性贫血。发现了多个胃肿瘤和肾旁无功能副神经节瘤。未检测到软骨瘤。诊断为不完全性卡尼三联征。我们指出,年轻成年人出现多个胃肿瘤提示存在胃肠道间质瘤(GIST)的可能性。内镜活检通常无效,因为这些肿瘤位于胃肌层深处。强调了采用特定技术进行阳性诊断的重要性。由于这些肿瘤的预后不确定,需要持续随访。肺软骨瘤可能在GIST切除数年之后出现,可能会与GIST转移相混淆。