直肠胃肠道间质瘤伴肩胛骨转移：一例报告
Gastrointestinal stromal tumor of the rectum with scapular metastasis: a case report.
作者信息
Selcukbiricik Fatih, Tural Deniz, Ozturk Mehmet Akif, Dervisoglu Sergulen, Sager Sait, Hız Murat, Mandel Nil Molinas
机构信息
Department of Clinical Oncology, University of Istanbul, Cerrahpasa School of Medicine, 34098, Cerrahpasa Fatih, Istanbul, Turkey.
出版信息
J Med Case Rep. 2012 Jun 7;6:145. doi: 10.1186/1752-1947-6-145.
INTRODUCTION
Gastrointestinal stromal tumors are rare tumors. They commonly metastasize within the abdominal cavity, particularly to the liver. Less commonly, metastases can be found in the bone.
CASE PRESENTATION
We here present a case of metastasis to the scapula in a 54-year-old Caucasian male patient with an advanced gastrointestinal stromal tumor, which was subsequently successfully treated with resection and sunitinib.
CONCLUSION
The present study is, to the best of our knowledge, the second to describe scapular metastasis of a gastrointestinal stromal tumor. Our patient was treated by scapulectomy. The overwhelming majority of scapular tumors are metastases that arise from soft tissue, hepatocellular and thyroid tumors. Gastrointestinal stromal tumor metastasis occurs rarely. Scapular surgery can successfully provide local control of the disease. After the surgery, patients should continue with medical treatment.
引言
胃肠道间质瘤是罕见肿瘤。它们通常在腹腔内转移，尤其是转移至肝脏。较少见的情况下，转移灶可出现在骨骼中。
病例报告
我们在此报告一例54岁白种男性晚期胃肠道间质瘤患者发生肩胛骨转移的病例，该患者随后通过手术切除和舒尼替尼治疗成功治愈。
结论
据我们所知，本研究是第二篇描述胃肠道间质瘤肩胛骨转移的报道。我们的患者接受了肩胛骨切除术。绝大多数肩胛骨肿瘤是源自软组织、肝细胞和甲状腺肿瘤的转移瘤。胃肠道间质瘤转移很少见。肩胛骨手术能够成功实现对该疾病的局部控制。术后，患者应继续接受药物治疗。
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