Karakaş Dursun Özgür, Dandin Özgür, Balta Ahmet Ziya, Özdemir Yavuz, Yılmaz İsmail, Sücüllü İlker
Clinic of General Surgery, Kasımpaşa Military Hospital, İstanbul, Turkey.
Clinic of General Surgery, Bursa Military Hospital, Bursa, Turkey.
Turk J Surg. 2015 Jul 6;33(2):130-132. doi: 10.5152/UCD.2015.2966. eCollection 2017.
Although gastrointestinal stromal tumors (GISTs) comprise less than 1% of all gastrointestinal (GI) tract tumors, they are the most common mesenchymal tumors of the GI tract. Gastrointestinal stromal tumors can occur anywhere along the GI tract, but the stomach and small intestine are the most frequently involved sites. Gastrointestinal stromal tumors are frequently asymptomatic, and one-third of all cases are found incidentally. Endoscopy, endoscopic ultrasonography, and computed tomography are useful tools in the diagnosis. Endoscopic mucosal resection, endoscopic submucosal dissection, laparoscopic endoscopic cooperative surgery, and surgery with either laparoscopic or open approaches are treatment modalities for GISTs. An R0 resection is the principle surgery. Imatinib is the main medical agent used in the adjuvant or neoadjuvant treatment of GIST. We present a 65-year-old woman with an asymptomatic GIST that arose from a gastric polyp treated via endoscopic polypectomy.
尽管胃肠道间质瘤（GIST）在所有胃肠道（GI）肿瘤中所占比例不到1%，但却是胃肠道最常见的间充质肿瘤。胃肠道间质瘤可发生于胃肠道的任何部位，但胃和小肠是最常受累的部位。胃肠道间质瘤通常无症状，所有病例中有三分之一是偶然发现的。内镜检查、超声内镜检查和计算机断层扫描是诊断的有用工具。内镜黏膜切除术、内镜黏膜下剥离术、腹腔镜内镜联合手术以及腹腔镜或开放手术是胃肠道间质瘤的治疗方式。R0切除是主要的手术方式。伊马替尼是用于胃肠道间质瘤辅助或新辅助治疗的主要药物。我们报告一名65岁女性，患有无症状的胃肠道间质瘤，起源于胃息肉，通过内镜下息肉切除术进行治疗。
