Isaka Tamami, Kanzaki Masato, Onuki Takamasa
Department of Surgery I, Tokyo Women's Medical University, Tokyo, Japan.
Department of Surgery I, Tokyo Women's Medical University, Tokyo, Japan
J Surg Case Rep. 2015 Feb 4;2015(2):rju155. doi: 10.1093/jscr/rju155.
The goal of surgical treatment for gastrointestinal stromal tumor (GIST) is the complete resection of the tumor. A 62-year-old male had a clearly distinguishable mass having a smooth surface at the right side of the lower esophagus by computed tomography. Thoracoscopic resection of the tumor was performed. Immunohistochemical analysis showed that the tumor was positive for c-KIT and CD34 without mitosis, and diagnosed to be a low-risk GIST. At 6 years after surgery, the patient survived without recurrence. This study described the long-term surviving patient without the recurrence of tumor after the thoracoscopic resection of an esophageal GIST.
胃肠道间质瘤（GIST）的外科治疗目标是完整切除肿瘤。一名62岁男性通过计算机断层扫描显示在食管下段右侧有一个表面光滑、边界清晰的肿块。遂行胸腔镜下肿瘤切除术。免疫组织化学分析显示肿瘤c-KIT和CD34呈阳性，无核分裂象，诊断为低风险GIST。术后6年，患者存活且无复发。本研究描述了1例食管GIST胸腔镜切除术后长期存活且无肿瘤复发的患者。
