Landi Bruno
Hépato-gastroentérologie et cancérologie digestive, Hôpital européen Georges Pompidou, 20, rue Leblanc, 75015 Paris
Bull Acad Natl Med. 2012 Apr-May;196(4-5):845-52; discussion 852-3.
Gastrointestinal stromal tumors (GIST) are rare, usually sporadic, and mainly located in the stomach or small bowel. Gastrointestinal bleeding is the main presenting symptom. GIST are discovered incidentally in 20% of cases. Endoscopy, and endosonography when possible, are the diagnostic procedures of choice for small GIST, while CT is used for larger tumors. Pathologic diagnosis can be obtained by fine-needle aspiration, but its indications must be discussed on an individual basis.
胃肠道间质瘤(GIST)较为罕见,通常为散发性,主要位于胃或小肠。胃肠道出血是主要的临床表现。20%的病例是偶然发现GIST的。对于较小的GIST,首选的诊断方法是内镜检查,如有可能还可进行内镜超声检查,而对于较大的肿瘤则采用CT检查。病理诊断可通过细针穿刺获得,但必须根据个体情况讨论其适应证。