Stubbs Benjamin Michael, Desai Ankit, Singh Seema, Seddon Beatrice, Khan Farrukh
Department of Surgery, UCLH, London, UK.
BMJ Case Rep. 2011 Jul 20;2011:bcr0120113737. doi: 10.1136/bcr.01.2011.3737.
Gastrointestinal stromal tumour (GIST) in pregnancy is rare. There have been only three previously reported cases, all of which have been diagnosed on postoperative histology. The authors present the first case of a preoperatively diagnosed GIST arising in a 31-year-old pregnant woman. With a suspected diagnosis, the patient was managed through a combined obstetric and upper gastrointestinal multidisciplinary team meeting, resulting in planned early caesarean section and surgical removal of the tumour. This case emphasises the fact that early and effective multidisciplinary discussion allows for proper treatment planning and more informed patient decisions.
妊娠期胃肠道间质瘤(GIST)较为罕见。此前仅有3例报道,均为术后组织学诊断。本文作者介绍了首例术前诊断为GIST的31岁孕妇病例。经怀疑诊断后,患者通过产科和上消化道多学科联合团队会诊进行管理,最终计划早期剖宫产并手术切除肿瘤。该病例强调了早期有效的多学科讨论有助于制定合理的治疗方案并使患者做出更明智决策这一事实。