Huynh Amelia T, Rust Ann
Department of Surgery, Good Shepherd Health Care System, 610 NW 11th St., Hermiston, OR 97838, United States.
School of Osteopathic Medicine, Pacific Northwest University of Health Sciences, Butler-Haney Hall, 200 University Pkwy, Yakima, WA 98901, United States.
J Surg Case Rep. 2024 Aug 20;2024(8):rjae497. doi: 10.1093/jscr/rjae497. eCollection 2024 Aug.
Gastrointestinal stromal tumors (GISTs) are uncommon tumors typically found in the stomach, with an even rarer appearance in the jejunum. These tumors are often discovered incidentally, given their nonspecific presentation. We present a case of chronic iron deficiency anemia in a patient with symptomatic GIST involving the proximal jejunum requiring robot-assisted resection with primary anastomosis. Pathological examination of the excised GIST revealed positive immunoreactivity for cKIT, DOG1, and CD37. This case highlights the importance of considering GIST as a differential diagnosis for chronic anemia and emphasizes the critical role of CT imaging in its detection and management.
胃肠道间质瘤（GISTs）是罕见肿瘤，通常见于胃，在空肠出现则更为罕见。这些肿瘤因其临床表现不具特异性，常为偶然发现。我们报告一例有症状的GIST累及空肠近端的患者出现慢性缺铁性贫血，需行机器人辅助切除并一期吻合术。切除的GIST病理检查显示cKIT、DOG1和CD37免疫反应呈阳性。该病例突出了将GIST作为慢性贫血鉴别诊断的重要性，并强调了CT成像在其检测和管理中的关键作用。
