Kamaraj Balakrishnan, Duvuru Ruthwik, Hithayathulla Mohammed Afsharhussain, Puliyadi Rishi Kaargil, Kogilatota Jagirdhar Gowthami Sai
Medicine, Madurai Medical College, Madurai, IND.
Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, ARE.
Cureus. 2022 Nov 4;14(11):e31097. doi: 10.7759/cureus.31097. eCollection 2022 Nov.
Gastrointestinal stromal tumors (GISTs) are uncommon GI tract cancers that develop from immature mesenchymal cells. It might be difficult to get an early diagnosis of people with small bowel GISTs, which can cause delays in therapy. We present here a case of a 62-year-old male with an incidental finding of a small intestine GIST during the workup for umbilical hernia. He presented with swelling above the umbilicus for the past six months that was progressive in nature and not associated with pain. Computer tomography (CT) of the abdomen with intravenous contrast revealed a heterogeneously enhancing mass lesion in the left paraumbilical intraperitoneal region, and immunohistochemistry results of the CT-guided biopsy showed a GIST. The patient underwent excision of the tumor with segmental resection and anastomosis, and supraumbilical hernia repair. Chemotherapy (imatinib for three years) after suture removal was planned for him.
胃肠道间质瘤(GISTs)是一种罕见的起源于未成熟间充质细胞的胃肠道癌症。小肠GIST患者可能难以早期诊断,这可能导致治疗延误。我们在此报告一例62岁男性,在脐疝检查过程中偶然发现小肠GIST。他在过去六个月中出现脐上肿胀,呈进行性,与疼痛无关。腹部增强计算机断层扫描(CT)显示左脐旁腹膜内区域有一个不均匀强化的肿块病变,CT引导下活检的免疫组化结果显示为GIST。患者接受了肿瘤切除及节段性切除吻合术和脐上疝修补术。计划在拆线后对他进行化疗(伊马替尼治疗三年)。