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[直肠和十二指肠同步性胃肠道间质瘤:一例报告]

[Synchronous gastrointestinal stromal tumors of the rectum and duodenum: a case report].

作者信息

Minoda Yosuke, Itaba Soichi, Kaku Toyoma, Makihara Kosuke, Matsuoka Junko, Murao Hiroyuki, Hamada Tetsuo, Nakamura Kazuhiko

机构信息

Department of Gastroenterology, Kyushu Rosai Hospital.

出版信息

Nihon Shokakibyo Gakkai Zasshi. 2015 Nov;112(11):1991-7. doi: 10.11405/nisshoshi.112.1991.

Abstract

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.

摘要

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。

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