关键词: gastrointestinal stromal tumor (gist) gastrointestinal tumor (gist) general internal medicine gist relapse surgery

来  源:   DOI:10.7759/cureus.54532   PDF(Pubmed)

Abstract:
Gastrointestinal stromal tumors (GISTs) represent a rare form of gastrointestinal neoplasm. This report details a medical case involving a 44-year-old woman who underwent bilateral pheochromocytoma resection, GIST gastrectomy, and laparoscopic adrenalectomy with intestinal resection. Despite an initially positive response to oral imatinib, treatment was delayed due to economic constraints. This delay resulted in a critical event marked by abdominal GIST metastasis to the abdominal wall, subsequent rupture leading to hemoperitoneum, and emergency surgery. Following an adequate postsurgical recovery, she was successfully discharged prior to medication adjustments.
摘要:
胃肠道间质瘤(GIST)是一种罕见的胃肠道肿瘤。本报告详细介绍了一例涉及一名44岁女性的医疗案例,该女性接受了双侧嗜铬细胞瘤切除术,GIST胃切除术,腹腔镜肾上腺切除术和肠切除术。尽管最初对口服伊马替尼反应积极,由于经济限制,治疗被推迟。这种延迟导致了以腹部GIST转移到腹壁为标志的关键事件,随后的破裂导致腹膜积血,紧急手术。经过充分的术后恢复,她在调整药物治疗前成功出院.
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