Rectal adenocarcinoma coexisting with incidentally found microscopic gastrointestinal stromal tumor
| Autor: | Zhang Mingwei, Ke Yu, Tongjun Liu, Shuang Wang, Zeyun Zhao, Jiaqi Yu, Yongbo Li, Wangsheng Xue, Dan Jiang, Min Wang |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Rectum General Medicine medicine.disease Asymptomatic digestive system diseases Endoscopy 03 medical and health sciences Ileostomy 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis medicine Rectal Adenocarcinoma Adenocarcinoma Medical history 030212 general & internal medicine Radiology Stromal tumor medicine.symptom business |
| Zdroj: | Medicine. 98:e16644 |
| ISSN: | 1536-5964 0025-7974 |
| DOI: | 10.1097/md.0000000000016644 |
| Popis: | Rationale Adenocarcinoma coexists with adjacent microscopic gastrointestinal stromal tumor (micro-GIST) is rare, especially in the rectum, where the gastrointestinal stromal tumors (GISTs) have the lower incidence rate. It is easy to ignore the concurrent micro-GIST due to the untypical symptoms. Patient concerns A 77-year-old male patient suffered from lower abdominal pain for 20 days and presented with per rectal bleeding for 10 days. He had the medical history of hypertension and diabetes for more than 25 years. Diagnoses Endoscopy revealed that the patient had rectum adenocarcinoma and multiple rectum polyps. Besides, the gastrointestinal stromal tumor was diagnosed by the pathologist. Interventions The patient underwent surgery of laparoscopic rectum resection and prophylactic ileostomy and took 6 courses of Capecitabine tablets orally. Outcomes One year after surgery, the patient had no local relapse by the CT scan. However, not long after the CT examination, he died of cardiovascular disease. Lessons Although micro-GIST may be noninvasive and asymptomatic, it may have the potential for transforming to malignancies. More attention should be paid to the patients diagnosed with gastrointestinal malignancy coexisting with micro-GIST. |
| Databáze: | OpenAIRE |
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