Bravo Eduar, García Carlos, Zegarra Arturo, Piscoya Alejandro, Pinto José, de Los Ríos Raúl, Prochazka Ricardo, Cok Jaime, Cáceres Jaime, Huerta-Mercado Jorge
Medico Residente del Servicio de Gastroenterología, Hospital Nacional Cayetano Heredia.
Rev Gastroenterol Peru. 2011 Apr-Jun;31(2):169-72.
Gastrointestinal stromal cell tumors (GIST) are rare neoplasms of the gastrointestinal tract, although they are the most common mesenchymal neoplasms. The stomach and small intestine are the most frequent site of involvement accounting for approximately 85% of cases. However, esophagus involvement is exceptional (<5%); indeed some large series fail to report it. Surgery resection is the cornerstone of treatment; currently imatinib has demonstrated its utility to reduce local recurrences and tumor mass. We report a 75 years-old male with a medical history of dysphagia who presented upper gastrointestinal bleeding caused by an esophageal GIST. The patient did not undergo surgery because of severe chronic heart failure.
胃肠道间质细胞瘤(GIST)是胃肠道罕见的肿瘤,尽管它们是最常见的间叶组织肿瘤。胃和小肠是最常受累的部位,约占病例的85%。然而,食管受累情况罕见(<5%);实际上,一些大型系列研究并未报告过食管受累病例。手术切除是治疗的基石;目前,伊马替尼已证明其在减少局部复发和肿瘤体积方面的效用。我们报告一例75岁男性,有吞咽困难病史,因食管GIST导致上消化道出血。由于严重的慢性心力衰竭,该患者未接受手术治疗。