Large Incidental Gastrointestinal Stromal Tumor of the Stomach

Irina Liepina, Sergejs Klimcuks, Jelena Farbere, Ilona Kapeika
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Abstract

Summary Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasms of the gastrointestinal (GI) tract (3). A 68-year-old male patient was referred to our hospital with complaints about feeling pressure in the thorax and heavy sweating for over 2 years. Abdominal CT showed a pathological formation approximately 21 cm × 15cm × 15 cm in size. The stomach was compressed and dislocated by the tumor. The total gastrectomy Roux modification was performed. The tumor grows from the back wall of the stomach; the tumor is not grew into the mucosa. We made a final diagnosis of an extra luminal GIST of the stomach - pT4N0M0G1R0 stage II. There was no evidence of disease recurrence six months after surgery.
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胃偶发的大胃肠道间质瘤
胃肠道间质瘤(gist)是胃肠道最常见的间质肿瘤(3)。一名68岁男性患者因感觉胸腔受压和大量出汗超过2年而转诊至我院。腹部CT显示约21厘米× 15厘米× 15厘米的病理形成。胃被肿瘤压迫并脱位。全胃切除Roux改良术。肿瘤从胃的后壁生长;肿瘤未长入粘膜。我们最终诊断为胃腔外GIST - pT4N0M0G1R0 II期。术后6个月无复发迹象。
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