关键词: Gastrointestinal surgery Gastrointestinal system Pathology

Mesh : Female Humans Abdomen / pathology Cystadenoma / diagnostic imaging surgery Gastrointestinal Neoplasms / diagnostic imaging surgery Gastrointestinal Stromal Tumors / diagnostic imaging surgery Ovarian Neoplasms / diagnostic imaging surgery Aged

来  源:   DOI:10.1136/bcr-2023-256244   PDF(Pubmed)

Abstract:
A gastrointestinal stromal tumortumour (GIST) is an uncommon gastrointestinal neoplasm that can arise from any part of the gastrointestinal tract. They can rarely present as a pelvic mass, which might result in a gynaecological condition being misdiagnosed in a female patient. A woman in her early 70s presented with a huge pelvic mass. Abdomen-pelvis CT scan showed a significant cystic mass in the left-sided pelvis with a mass effect on adjacent structures, which suggested a possibility of an ovarian cystadenoma. Her CA-125 was normal. She underwent an exploratory laparotomy with pelvic mass excision. A diagnosis of a gastrointestinal stromal tumour (GIST) arising from the ileum was made on a histopathology study.
摘要:
胃肠道间质瘤(GIST)是一种罕见的胃肠道肿瘤,可以从胃肠道的任何部位产生。它们很少表现为骨盆肿块,这可能会导致女性患者的妇科疾病被误诊。一名70多岁的妇女表现出巨大的骨盆肿块。腹部骨盆CT扫描显示左侧骨盆有明显的囊性肿块,对邻近结构有肿块影响。这表明卵巢囊腺瘤的可能性。CA-125正常。她接受了剖腹探查术和盆腔肿块切除术。在组织病理学研究中诊断出由回肠引起的胃肠道间质瘤(GIST)。
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