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罕见的混合性间质瘤病例：尼日利亚阿达马瓦州一名9岁女孩空肠和网膜上胃肠道及肠外间质瘤的病例报告

Rare occurrence of mix stromal tumours: a case report of gastrointestinal and extra-intestinal stromal tumour on the jejunum and omentum of a nine year old girl from Adamawa State, Nigeria.

作者信息

Ahmadu Baba Usman, Nnanubumom Andy Angela, Ibrahim Rabasa Adamu

机构信息

Department of Paediatrics, Federal Medical Centre Yola, Nigeria.

出版信息

Ethiop J Health Sci. 2013 Jul;23(2):174-7.

PMID:23950634
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3742895/
Abstract

BACKGROUND

Stromal tumors of the jejunum (GIST) and omentum (EGIST) are uncommon and dearth of information still exists on their occurrence concurrently.

CASE DETAILS

Here, we report a nine year old girl that presented with tender abdominal mass measuring 14 × 8 cm associated with features of gastric outlet obstruction and hyponatremia of 115mmol/L. A diagnosis of hyponatremia in a child with gastric outlet obstruction secondary to intraabdominal mass was made for which exploratory laparotomy was carried out. Histology of the tumour revealed stromal spindle epithelioid as well as myxoid cells. Complete resection of the tumour and correction for hyponatremia was done in addition to antibiotics therapy with remarkable improvement.

CONCLUSION

Index case is that of mixed stromal tumours that presented with features of gastric outlet obstruction, and the patient did well after surgery.

摘要

背景

空肠胃间质瘤（GIST）和网膜胃肠外间质瘤（EGIST）并不常见，关于它们同时发生的信息仍然匮乏。

病例详情

在此，我们报告一名9岁女孩，她出现了一个14×8厘米的压痛性腹部肿块，伴有胃出口梗阻的特征以及血钠浓度为115mmol/L的低钠血症。对一名因腹腔内肿块继发胃出口梗阻的儿童诊断为低钠血症，并为此进行了剖腹探查术。肿瘤组织学检查显示有梭形上皮样间质细胞以及黏液样细胞。除了抗生素治疗外，还对肿瘤进行了完整切除并纠正了低钠血症，患者病情有显著改善。

结论

该病例为混合性间质瘤，表现为胃出口梗阻的特征，患者术后恢复良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dba/3742895/ededc22ecfaf/EJHS2302-0174Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dba/3742895/5b2cee59c991/EJHS2302-0174Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dba/3742895/ededc22ecfaf/EJHS2302-0174Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dba/3742895/5b2cee59c991/EJHS2302-0174Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dba/3742895/ededc22ecfaf/EJHS2302-0174Fig2.jpg

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