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结肠胃肠道间质瘤(GIST)并发结肠结肠肠套叠:一例罕见病例报告。

Colonic gastrointestinal stromal tumor (GIST) presenting with colocolonic intussusception: A rare case report.

机构信息

VCA Toronto Veterinary Emergency & Referral Hospital, 21 Rolark Drive, Scarborough, Ontario M1R 3B1 (Dooley); Animal Health Laboratory, University of Guelph, 419 Gordon Street, Guelph, Ontario N1G 2W1 (Stalker); Department of Clinical Studies, Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1 (Jensen, Pinard); Department of Oncology, Lakeshore Animal Health Partners, 806 Southdown Road, Mississauga, Ontario L5J 2Y4 (Pinard); Radiogenomics Laboratory, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5 (Pinard).

出版信息

Can Vet J. 2024 Jan;65(1):25-28.

Abstract

An 8-year-old spayed female British bulldog was presented with vomiting, hyporexia, and large-bowel diarrhea. Abdominal ultrasound revealed a focal colonic mass with an intussusception located immediately oral to the mass. The intussusception encompassed the ascending and transverse colon and was non-reducible. Colonic resection and anastomosis were completed to include the intussusception and colonic mass. Histopathological examination of the mass demonstrated a spindle cell neoplasm arising within the muscular wall of the intussuscepted segment that obliterated normal architecture. Mild-to-moderate cytoplasmic immunoreactivity of the tumor cell population for CD117 and smooth muscle actin was consistent with a diagnosis of a gastrointestinal stromal tumor. The dog described herein remains alive and free of progressive disease at the time of writing. Key clinical message: The entire gastrointestinal tract should be evaluated in any animal with gastrointestinal symptoms. A gastrointestinal stromal tumor remains a plausible differential diagnosis, regardless of the intestinal segment affected, and tumorassociated intussusception is a rare but urgent clinical finding.

摘要

一只 8 岁已绝育的雌性英国斗牛犬出现呕吐、食欲减退和大肠性腹泻。腹部超声显示结肠局部有一肿块,伴有位于肿块口侧的肠套叠。肠套叠包括升结肠和横结肠,且不可复位。进行结肠切除和吻合术以包括肠套叠和结肠肿块。肿块的组织病理学检查显示,在套叠段的肌壁内出现了一个梭形细胞肿瘤,使正常结构消失。肿瘤细胞群体对 CD117 和平滑肌肌动蛋白的细胞质免疫反应轻度至中度,符合胃肠道间质瘤的诊断。在撰写本文时,所描述的这只狗仍然存活且没有进行性疾病。关键临床信息:任何有胃肠道症状的动物都应评估整个胃肠道。胃肠道间质瘤仍然是一个合理的鉴别诊断,无论受影响的肠道节段如何,并且与肿瘤相关的肠套叠是一种罕见但紧急的临床发现。

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本文引用的文献

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Current Views in the Diagnosis and Treatment of Intestinal Intussusception.肠套叠诊断与治疗的当前观点
Top Companion Anim Med. 2019 Dec;37:100360. doi: 10.1016/j.tcam.2019.100360. Epub 2019 Sep 11.

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