Minoda Yosuke, Itaba Soichi, Kaku Toyoma, Makihara Kosuke, Matsuoka Junko, Murao Hiroyuki, Hamada Tetsuo, Nakamura Kazuhiko
Department of Gastroenterology, Kyushu Rosai Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2015 Nov;112(11):1991-7. doi: 10.11405/nisshoshi.112.1991.
An 85-year-old woman with anemia underwent colonoscopy, which revealed a 25-mm submucosal tumor with ulceration in the lower rectum. Histological examination of a biopsy showed that the lesion was a gastrointestinal stromal tumor (GIST). Subsequent esophagogastroduodenoscopy revealed a submucosal tumor in the duodenum, and examination of a biopsy obtained by endoscopic ultrasound-guided fine-needle aspiration also confirmed that this lesion was a GIST. The rectal lesion was surgically resected to control bleeding and was confirmed as a GIST histologically. Simultaneous development of GISTs in the rectum and duodenum is extremely rare.
一名85岁的贫血女性接受了结肠镜检查,结果显示其直肠下段有一个25毫米的伴有溃疡的黏膜下肿瘤。活检的组织学检查表明该病变为胃肠道间质瘤(GIST)。随后的食管胃十二指肠镜检查发现十二指肠有一个黏膜下肿瘤,通过内镜超声引导下细针穿刺活检获取的检查结果也证实该病变为GIST。直肠病变通过手术切除以控制出血,组织学检查证实为GIST。直肠和十二指肠同时发生GIST极为罕见。