Akut karın bulguları veren jejunal stromal tümör
Küçük Resim Yok
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Şişli Etfal Hastanesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Gastrointestinal stromal tümörler (GİST) normalde barsak duvarında bulunan intestinal pacemaker hücreleri olan Cajal ın interstisyel hücreleri veya onların prekürssörlerinin malign transformasyonundan kaynaklandığına inanılan mezenkimal tümörlerdir. GIST en çok mideden gelişirken, ince barsaklardan gelişenler nadir olup daha malign potansiyele sahiptir. En sık semptomlar belirsiz karın ağrısı, gastrointestinal kanama ve batında kitledir. Esas tedavisi tam cerrahi rezeksiyumdur. Cerrahi tedavi sonrası reküfrcns veya nüks olasılığı yüksektir. Bu nedenle hastaların cerrahiden sonra özelikle ilk 2 yıl 6 ayda bir, daha sonra yılda bir muayene ve BT ile takibi uygundur. Bizim olgumuz 83 yasında olup, akut karın bulguları ile başvurdu. BT de batın sol alt kadranda kitle saptandı. Laparatomide jejenumda 5 cm çaplı patolojide yüksek gracleli gastrointestinal stroma tümör olduğu belirlenen kitle saptandı. Rezeksiyon yapıldı. Hastanın 2. yıl takibinde nüks görülmedi.
Gastrointestinal stromal tumors are mesenchymal tumors of the gastrointestinal tract that are believed to originate from neoplastic transformation of the intestinal pacemaker cells (interstitial cells of Cajal) normally found in the howell wall, or their precursors. The majority gastrointestinal stromal tumors. occurs in the stomach, stromal tumors involving the small intestine are far less common but seem to have greater malignant potential. The most common symptoms are vague abdominal pain, gastrointestinal bleeding, and abdominal mass. The mainstay of treatment continues to he complete surgical resection. GIST surgical patients subsequently have an increased risk of postoperative recurrence or metastasis. Therefore, we recommend Systematic follow-up after surgical resection of a malignant GIST including physical examination and CT scan at 6-month intervals for up to, 2 years after surgery with following annual CT scan and physical examination. ' Our case was 83 years old and applied to our hospital with symptoms of acute abdominal pain. CT scan demonstrated a mass lesion at left lower quadrant. Laparotomy revealed a 5 cm mass which was diagnosed as a high-grade gastrointestinal stromal tumor by pathological examination. Finally,resection was done and no recurrence or metastasis was detected in following postoperative 2 years.
Gastrointestinal stromal tumors are mesenchymal tumors of the gastrointestinal tract that are believed to originate from neoplastic transformation of the intestinal pacemaker cells (interstitial cells of Cajal) normally found in the howell wall, or their precursors. The majority gastrointestinal stromal tumors. occurs in the stomach, stromal tumors involving the small intestine are far less common but seem to have greater malignant potential. The most common symptoms are vague abdominal pain, gastrointestinal bleeding, and abdominal mass. The mainstay of treatment continues to he complete surgical resection. GIST surgical patients subsequently have an increased risk of postoperative recurrence or metastasis. Therefore, we recommend Systematic follow-up after surgical resection of a malignant GIST including physical examination and CT scan at 6-month intervals for up to, 2 years after surgery with following annual CT scan and physical examination. ' Our case was 83 years old and applied to our hospital with symptoms of acute abdominal pain. CT scan demonstrated a mass lesion at left lower quadrant. Laparotomy revealed a 5 cm mass which was diagnosed as a high-grade gastrointestinal stromal tumor by pathological examination. Finally,resection was done and no recurrence or metastasis was detected in following postoperative 2 years.
Açıklama
Anahtar Kelimeler
Karın, akut, Yaşlı, 80 ve üzeri, Tedavi sonucu, Kadın, Gastrointestinal stromal tümörler, Laparotomi, Aged, 80 and over, Treatment Outcome, Laparotomy, Abdomen, Acute, Gastrointestinal Stromal Tumors, Female
Kaynak
Şişli Etfal Hastanesi Tıp Bülteni
WoS Q Değeri
Scopus Q Değeri
Cilt
39
Sayı
3
Künye
Uludağ, M., Yetkin, G., Akgün, İ., Kebudi, A. vd. (2005). Akut karın bulguları veren jejunal stromal tümör / A jejunal stromal tumor which causes symptoms of acute abdominal pain. Şişli Etfal Hastanesi Tıp Bülteni, Şişli Etfal Hastanesi. 39(3), s. 56-59.
