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胰腺胃肠道间质瘤与食管神经鞘瘤罕见的同时并存:一例病例报告及文献复习

A rare simultaneous coexistence of pancreatic gastrointestinal stromal tumor and esophageal schwannoma: a case report and review of literature.

作者信息

Yin Xiaonan, Yang Hongxin, Zhang Bo, Yin Yuan

机构信息

Gastric Cancer Center, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Department of Gastrointestinal Surgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.

出版信息

Front Oncol. 2024 Sep 23;14:1428910. doi: 10.3389/fonc.2024.1428910. eCollection 2024.

Abstract

The concurrent presence of gastrointestinal stromal tumor and schwannoma is extremely rare, and its pathological characteristics remain unclear. This case report reported the diagnostic and treatment process of a patient with a pancreatic GIST coexisting with esophageal schwannoma, who was admitted to West China Hospital (Sichuan, China) in April 2015. The patient did not undergo surgical resection of the tumor but instead received an 8-year regimen of imatinib therapy, during which no tumor progression was observed. However, the patient developed pleural effusion as a result of the localized enlargement of the esophageal schwannoma, which exerted pressure on the right inferior pulmonary vein. This case report provides valuable clinical insights into this distinctive disease presentation.

摘要

胃肠道间质瘤与神经鞘瘤同时存在极为罕见,其病理特征尚不清楚。本病例报告报道了一名胰腺胃肠道间质瘤合并食管神经鞘瘤患者的诊断和治疗过程,该患者于2015年4月入住四川大学华西医院。患者未接受肿瘤手术切除,而是接受了8年的伊马替尼治疗方案,在此期间未观察到肿瘤进展。然而,患者因食管神经鞘瘤局部增大压迫右下肺静脉而出现胸腔积液。本病例报告为这种独特的疾病表现提供了有价值的临床见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a24/11456398/34cb7ea5207c/fonc-14-1428910-g001.jpg

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