Amendolara M, Ramuscello S, Broggiato A, Andreotti A, Stevanato G, Bonfiglio M, Bernardi M, Parini D, Galeotti F, Rizzo M
G Chir. 2014 May-Jun;35(5-6):129-33.
The GISTs are rare tumours but even rarer is the localization in some districts. We reported two GISTs of the duodenum, two of the omentum and peritoneum, one of the rectum and one of a Meckel's diverticulum. These exceptional locations are confirmed by the relative difficult diagnosis, obtained in some cases only by the surgical treatment despite the CT and MR. The endoscopy is useful in hemorrhagic and duodenum forms, only for the diagnosis and for the control of blood loss. Surgical treatment in all cases was decisive without the need to make use of adjuvant therapy, with positive long-term results, which excluded the disappearance of relapses or secondary lesions.
胃肠道间质瘤（GISTs）是罕见肿瘤，但在某些部位发生更为罕见。我们报告了两例十二指肠GIST、两例大网膜和腹膜GIST、一例直肠GIST以及一例梅克尔憩室GIST。这些特殊部位通过相对困难的诊断得以证实，在某些病例中，尽管进行了CT和MR检查，但仅通过手术治疗才确诊。内镜检查对出血性和十二指肠型GIST有用，仅用于诊断和控制失血。所有病例的手术治疗都起了决定性作用，无需辅助治疗，长期效果良好，排除了复发或继发病变的出现。
