■盲肠胃肠道间质瘤(GIST)构成所有GIST的罕见亚型。很少,它可以在成人中出现回肠肠套叠,由于非特异性临床特征,因此具有挑战性的诊断。
方法:一名30年前健康女性出现下腹痛和腹部扩张,随后在CT扫描中被诊断为回肠肠套叠。术中,在盲肠中发现了一个带蒂的息肉样硬块,因此,在怀疑恶性肿瘤的情况下进行了标准的右半结肠切除术.切除肿块的组织病理学证实CD117阴性,主轴型GIST.
结论:以回肠肠套叠形式出现的盲肠GIST很少见。对比增强CT扫描是评估可疑GIST患者以确定肿瘤范围的首选成像方式,是否存在转移性疾病,并评估完全切除的可能性。完全切除后的辅助伊马替尼治疗减少了疾病复发。
结论:成人肠套叠可能是GIST等潜在恶性肿瘤的首发表现。具有阴性切缘的肿瘤的完全手术切除可提供长期存活。
UNASSIGNED: Cecal gastrointestinal stromal tumors (GIST) constitute a rarer subtype of all GISTs. Rarely, it can present with ileocolic intussusception in adults making it a challenging diagnosis due to non-specific clinical features.
METHODS: A 30-year previously healthy woman presented with lower abdominal pain and a distended abdomen who was subsequently diagnosed with ileocolic intussusception on a CT scan. Intraoperatively, a pedunculated polypoid hard mass was identified in the cecum and thus, a standard right hemicolectomy was performed with the suspicion of malignancy. Histopathology of the resected mass confirmed CD117 negative, spindle type GIST.
CONCLUSIONS: Cecal GIST presenting in the form of ileocolic intussusception is rare. Contrast-enhanced CT scan is the preferred imaging modality for the evaluation of patients with suspected GIST to determine the extent of the tumor, the presence or absence of metastatic disease alongside evaluation of the possibility of complete resection. Adjuvant imatinib therapy following complete resection decreases the disease recurrence.
CONCLUSIONS: Intussusception in an adult can be the first manifestation of underlying malignancy like GIST. Complete surgical resection of the tumor with a negative margin offers long-term survival.