Duman Deniz Güney, Eren Funda, Yeğin Ender Güneş, İkinci Aygün, Yeğen Cumhur
Department of Gastroenterology, Marmara University School of Medicine, İstanbul, Turkey.
Turk J Gastroenterol. 2012 Jun;23(3):258-61. doi: 10.4318/tjg.2012.0475.
Gastrointestinal stromal tumors represent the most common mesenchymal tumor of the digestive tract. Although the stomach is the most common location for gastrointestinal stromal tumor with the co-primary tumors, the synchronous appearance of a neuroendocrine tumor and gastrointestinal stromal tumor in the stomach is rare. We present here the case of a 48-year-old male with gastric well-differentiated neuroendocrine tumor and gastrointestinal stromal tumor discovered incidentally during surgical treatment of the neuroendocrine tumor. We discuss the current guidelines for the management of small gastrointestinal stromal tumors (<2 cm in diameter) and the gastric carcinoids. We also review the literature for the co-occurrence of gastrointestinal stromal tumor and neuroendocrine tumor in a gastric location.
胃肠道间质瘤是消化道最常见的间叶组织肿瘤。虽然胃是胃肠道间质瘤伴发原发性肿瘤最常见的部位，但胃内神经内分泌肿瘤与胃肠道间质瘤同时出现的情况较为罕见。本文报道了一例48岁男性患者，在神经内分泌肿瘤手术治疗过程中偶然发现胃内高分化神经内分泌肿瘤和胃肠道间质瘤。我们讨论了目前关于直径小于2cm的小胃肠道间质瘤和胃类癌的管理指南。我们还回顾了胃内胃肠道间质瘤与神经内分泌肿瘤同时发生的相关文献。
