Voluminous bleeding stomach GIST: reflections on etiopathogenesis, diagnosis and therapy.

Chirurgia italiana Pub Date : 2009-03-01
Valerio Caracino, Gustavo Maggi, Simone Altobelli, Carlo Lambiase, Costantina Danza, Giampiero D'Amico
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Abstract

Gastrointestinal stromal tumours (GIST) constitute a heterogeneous group of neoplasms which, although rare (around 1% of the total number of malignant tumours), are the most common mesenchymal tumours of the gastrointestinal tract. In the past they were not very well known, whereas today, thanks to the remarkable progress made in the immunohistochemical and molecular fields, considerable knowledge has been acquired, offering new opportunities for classification and, above all, for a more adequate multidisciplinary treatment of this pathology. In this study, the authors report a case of a bleeding GIST of the stomach which they recently observed and discuss it in the light of recent reflections on the aetiopathogenesis, diagnosis and therapy of these tumours in the literature.

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胃大出血GIST:对病因、诊断和治疗的思考。
胃肠道间质瘤(GIST)是一类异质性肿瘤,虽然罕见(约占恶性肿瘤总数的1%),但却是胃肠道最常见的间质肿瘤。在过去,它们不太为人所知,而今天,由于免疫组织化学和分子领域取得的显著进展,已经获得了相当多的知识,为分类提供了新的机会,最重要的是,为这种病理学提供了更充分的多学科治疗。在这项研究中,作者报告了一个胃胃肠道间质瘤出血的病例,他们最近观察到,并讨论了最近的反思在这些肿瘤的发病机制,诊断和治疗的文献。
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[Chylous ascites]. [Nipple discharge]. Gastric Lipoma Traumatic diaphragmatic injuries. [Treatment of biliary lesions due to cholecystectomy].
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