Wu Eunice, Son Sam Y, Gariwala Veer, O'Neill Christopher
EVMS Radiology Department, Eastern Virginia Medical School, 700 W Olney Rd, Norfolk, VA 23507, USA.
Radiol Case Rep. 2021 Apr 10;16(6):1391-1394. doi: 10.1016/j.radcr.2021.03.014. eCollection 2021 Jun.
Mesenchymal tumors make up only about 1% of primary GI tumors, with Gastrointestinal Stromal Tumors (GIST) being the most common nonepithelial GI neoplasms. They are derived from the Interstitial cells of Cajal (ICC), and occur predominantly in older individuals, with a mean age of diagnosis of 64 years. Here we discuss the case of a 39-year-old female with atypical thoracic back pain wrapping around to the front and migrating diffuse abdomen pain that sometimes radiates into the chest. Upon imaging, a gastric GIST of the greater curve of the stomach was found incidentally on investigation of a pancreatic mass that was revealed to be a co-occurring pancreatic neuroendocrine tumor. For management of the gastric GIST and pancreatic neuroendocrine tumor, this patient underwent partial gastrectomy with gastrojejunostomy, partial pancreatectomy, splenectomy, and cholecystectomy with no complications.
间充质肿瘤仅占原发性胃肠道肿瘤的约1%，胃肠道间质瘤（GIST）是最常见的非上皮性胃肠道肿瘤。它们起源于 Cajal 间质细胞（ICC），主要发生在老年人中，诊断的平均年龄为64岁。在此，我们讨论一例39岁女性病例，该患者有非典型的胸背部疼痛，疼痛从前胸向后背蔓延，并伴有弥漫性腹部疼痛，有时疼痛会放射至胸部。经影像学检查，在对胰腺肿块进行检查时，偶然发现胃大弯处有一个胃GIST，该胰腺肿块被发现是同时存在的胰腺神经内分泌肿瘤。为了治疗胃GIST和胰腺神经内分泌肿瘤，该患者接受了胃部分切除术加胃空肠吻合术、胰腺部分切除术、脾切除术和胆囊切除术，术后无并发症。
