Wegge Jacqueline, Bartholomew David M, Burke Leandra H, Miller Lisa A
Department of Surgery, Western Michigan University School of Medicine, Kalamazoo, Michigan, USA.
BMJ Case Rep. 2012 Oct 19;2012:bcr2012007040. doi: 10.1136/bcr-2012-007040.
We describe a 55-year-old man presenting to our institution with a gastrointestinal bleed. He was found to have a 5 cm pancreatic extra-gastrointestinal stromal tumours (EGISTs) eroding into the duodenum and ampulla of Vater. Pancreaticoduodenectomy was performed and the tumour was noted to be positive for CD117 and CD34 with six mitotic figures per 50/high-powered field. At 5 months postoperatively he is receiving treatment with imatinib and doing well. To the best of our knowledge, our patient is only the 18th case reported in the literature to date.
我们描述了一名55岁男性因胃肠道出血前来我院就诊。他被发现患有一个5厘米的胰腺外胃肠道间质瘤（EGIST），该肿瘤已侵蚀至十二指肠和 Vater壶腹。实施了胰十二指肠切除术，术后发现肿瘤CD117和CD34呈阳性，每50个高倍视野有6个有丝分裂象。术后5个月，他正在接受伊马替尼治疗，情况良好。据我们所知，我们的患者是迄今为止文献报道的第18例病例。
