Vahidi Shifteh, Rakhshan Azadeh
Department of Pathology, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
Arch Iran Med. 2008 Nov;11(6):665-8.
Synchronous development of gastrointestinal stromal tumors with other tumors in the digestive tract is relatively rare, and often occurs in the stomach. We report a 76-year-old woman, who suffered from the exceedingly rare synchronous development of small intestinal stromal tumor and cecal adenocarcinoma. The patient presented with intestinal obstructive symptoms. The pre-operative abdominal ultrasonography demonstrated a very large heterogenous periumbilical mass. Laparotomy was performed and the evaluation of the surgical specimen revealed a huge 14-cm subserosal mass of high risk ileal stromal tumor along with cecal adenocarcinoma with regional lymph node metastasis. The patient died within 3 months of diagnosis.
胃肠道间质瘤与消化道其他肿瘤同时发生的情况相对少见，且常发生于胃部。我们报告一例76岁女性患者，其患有极为罕见的小肠间质瘤与盲肠腺癌同时发生的病例。该患者表现出肠梗阻症状。术前腹部超声检查显示脐周有一个非常大的不均质肿块。进行了剖腹手术，对手术标本的评估显示有一个巨大的14厘米浆膜下高危回肠间质瘤，同时伴有盲肠腺癌及区域淋巴结转移。该患者在确诊后3个月内死亡。
