Montalvan-Sanchez Eleazar E, Beas Renato, Norwood Dalton Argean, Alkashash Ahmad Mahmoud, Rodriguez Murillo Aida A, Calderon Gerardo
Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Gastroenterology Res. 2022 Jun;15(3):142-147. doi: 10.14740/gr1514. Epub 2022 Jun 16.
We report a case of an 81-year-old male immigrant from a Latin American developing country with a high burden of upper gastrointestinal neoplasms, who presented with a small bowel gastrointestinal stromal tumor (GIST) after 2 years of delay in the diagnosis due to multiple barriers to healthcare. The patient presented with a partial intestinal obstruction in an abdominal computed tomography (CT) scan suggestive of a GIST. Surgical resection was performed, and adjuvant therapy was initiated with imatinib (a tyrosine kinase inhibitor) after the diagnosis was confirmed. The patient had a successful outcome. Due to his migratory status, the patient planned to follow up with different health providers in two different countries, which constitutes a common challenge in the immigrant population.
我们报告了一例来自拉丁美洲发展中国家的81岁男性移民病例，该地区上消化道肿瘤负担较重。由于医疗保健存在多重障碍，该患者在诊断延误2年后出现小肠胃肠道间质瘤（GIST）。患者在腹部计算机断层扫描（CT）中表现为部分肠梗阻，提示为GIST。进行了手术切除，并在确诊后开始使用伊马替尼（一种酪氨酸激酶抑制剂）进行辅助治疗。患者预后良好。由于其移民身份，患者计划在两个不同国家与不同的医疗服务提供者进行随访，这在移民群体中是一个常见的挑战。
