一名患有家族性腺瘤性息肉病综合征的患者出现大型肠系膜胃肠道间质瘤。

Large mesenteric gastrointestinal stromal tumor in a patient with familial adenomatous polyposis syndrome.

作者信息

Moschos John, Tzilves Dimitrios, Paikos Dimitrios, Tagarakis Georgios, Pilpilidis Ioannis, Antonopoulos Zissis, Kadis Savvas, Katsos Ioannis, Tarpagos Anestis

机构信息

Department of Gastroenterology, Theagenion Hospital, Thessaloniki, Greece.

出版信息

Wien Klin Wochenschr. 2006 Jun;118(11-12):355-7. doi: 10.1007/s00508-006-0612-3.

DOI:10.1007/s00508-006-0612-3

PMID:16855925

Abstract

We report a case of a 30-year-old man who presented with severe debilitation, anemia and diarrhea over two months. Colonoscopy revealed many (>100) polyps (familial adenomatous polyposis syndrome). Abdominal CT scan showed a large mass at the left upper abdomen in conjunction with the splenic flexure. Total colectomy with mesenteric mass and adjacent small bowel removal and ileoanal pouch was performed. Examination of the resected mesenteric mass showed a gastrointestinal stromal tumor (GIST) with scarce mitosis and infiltration of the adjacent small bowel. We describe for the first time in medical literature the coexistence of familial adenomatous polyposis syndrome and GIST in a 30-year-old man.

摘要

我们报告一例30岁男性患者，其在两个月内出现严重身体衰弱、贫血和腹泻。结肠镜检查发现许多（>100个）息肉（家族性腺瘤性息肉病综合征）。腹部CT扫描显示左上腹与脾曲处有一个大肿块。进行了全结肠切除术，切除肠系膜肿块及相邻小肠，并做了回肠肛管吻合术。对切除的肠系膜肿块检查显示为胃肠道间质瘤（GIST），有极少的有丝分裂且侵犯相邻小肠。我们在医学文献中首次描述了一名30岁男性同时存在家族性腺瘤性息肉病综合征和胃肠道间质瘤。