Davies Andrew R, Ahmed Waseem, Purkiss Shaun F
Department, of Surgery, Whipps Cross University Hospital, Leytonstone, London, UK.
World J Surg Oncol. 2008 May 24;6:55. doi: 10.1186/1477-7819-6-55.
Gastro-Intestinal stromal tumours (GISTs) are rare and our understanding of their natural history and optimal treatment are continually evolving. Port site metastasis after laparoscopy for a GIST is an extremely rare phenomenon.
We report a case with relevant imaging and discuss factors that may have contributed to the development of this isolated metastasis.
Percutaneous methods of sampling GIST tumours for analysis should be avoided if at all possible. When necessary, prophylactic measures should be utilised to minimise the risk of seeding.
胃肠道间质瘤(GISTs)较为罕见,我们对其自然病史和最佳治疗方法的认识也在不断发展。腹腔镜检查后GIST出现穿刺部位转移是一种极为罕见的现象。
我们报告了一例相关影像学病例,并讨论了可能导致这种孤立转移发生的因素。
如果可能,应尽量避免采用经皮方法获取GIST肿瘤样本进行分析。必要时,应采取预防措施以降低种植风险。