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多灶性胃肠道间质瘤:一例CT、手术及组织病理学相关性病例报告

Multifocal gastrointestinal stromal tumor: A case report with CT, surgical, and histopathologic correlation.

作者信息

Brogna Barbara, Imbriani Giusy Carmen, Forte Nicola Rosario, Schettino Michele, Morelli Raffaele, Venditti Michele, Manganiello Carmine, Biondo Francesco Giuseppe

机构信息

Department of Radiology, Sacred Heart of Jesus Hospital, Viale Principe di Napoli 14/A, Benevento 82100, Italy.

Department of Surgery, Sacred Heart of Jesus Hospital, Benevento, Italy.

出版信息

Radiol Case Rep. 2019 May 31;14(8):962-966. doi: 10.1016/j.radcr.2019.05.015. eCollection 2019 Aug.

Abstract

Mutifocal gatrointestinal stromal tumors (GISTs) are rare conditions that are usually associated with other syndromes or reported in pediatric cases. The sporadic form represents only 11% of GISTs. The imaging features on a contrast-enhanced computed tomography examination, surgery and histopathology of a rare case of a sporadic multifocal small bowel GISTs in an emergency setting are described. This case highlights how GISTs appearances on an imaging computed tomography may vary. Radiologists can have difficulty in defining the point of origin of large lesions. In our case, laparotomy open surgery was mandatory to figuring out the correct diagnosis.

摘要

多灶性胃肠道间质瘤(GISTs)是一种罕见疾病,通常与其他综合征相关或在儿科病例中报道。散发性形式仅占GISTs的11%。本文描述了一例急诊情况下散发性多灶性小肠GISTs罕见病例的增强计算机断层扫描检查、手术及组织病理学的影像学特征。该病例突出了GISTs在计算机断层扫描成像上的表现可能存在差异。放射科医生在确定大病变的起源点时可能会遇到困难。在我们的病例中,剖腹开放手术对于明确正确诊断是必不可少的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2057/6545350/5fecc76bb793/gr1.jpg

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