U mô đệm đường tiêu hóa tá tràng: báo cáo ca lâm sàng

Tóm tắt

U mô đệm đường tiêu hóa (Gastrointestinal Stromal Tumor – GIST) hầu hết nằm ở dạ dày, ruột non, đại trực tràng, hiếm gặp ở tá tràng. Chúng tôi báo cáo một trường hợp GIST tá tràng hiếm gặp ở người bệnh nữ 48 tuổi được chẩn đoán qua cắt lớp vi tính (CLVT) và nội soi thực quản – dạ dày – tá tràng, đã được phẫu thuật và khẳng định bằng kết quả giải phẫu bệnh.

Từ khóa: U mô đệm đường tiêu hóa, GIST, u tá tràng.

Tài liệu tham khảo

1. Ito T, Kushida T, Sakurada M, Tanaka K, Sato K, Maekawa H. Complete wedge resection for duodenal gastrointestinal stromal tumour: A case series of three patients. Int J Surg Case Rep. 2021;90:106674.
2. Liu Q, Kong F, Zhou J, Dong M, Dong Q. Management of hemorrhage in gastrointestinal stromal tumors: a review. Cancer Manag Res. 2018;10:735-743.
3. Werewka-Maczuga A, Osiński T, Chrzan R, Buczek M, Urbanik A. Characteristics of computed tomography imaging of gastrointestinal stromal tumor (GIST) and related diagnostic problems. Pol J Radiol. 2011;76(3):38-48.
4. Dias de Castro F, Magalhães J, Monteiro S, Leite S, Cotter J. The Role of Endoscopic Ultrasound in the Diagnostic Assessment of Subepithelial Lesions of the Upper Gastrointestinal Tract. GE – Port J Gastroenterol. 2016;23(6):287-292.
5. Lau S, Tam KF, Kam CK, et al. Imaging of gastrointestinal stromal tumour (GIST). Clin Radiol. 2004;59(6):487-498.
6. Joensuu H, Vehtari A, Riihimki J, et al. Risk of recurrence of gastrointestinal stromal tumour after surgery: an analysis of pooled population-based cohorts. Lancet Oncol. 2012;13(3):265-274.
7. Joensuu H, Rutkowski P, Nishida T, et al. KIT and PDGFRA Mutations and the Risk of GI Stromal Tumor Recurrence. J Clin Oncol. 2015;33(6):634-642.
8. Joensuu H, Martin-Broto J, Nishida T, Reichardt P, Schưffski P, Maki RG. Follow-up strategies for patients with gastrointestinal stromal tumour treated with or without adjuvant imatinib after surgery. Eur J Cancer. 2015;51(12):1611-1617.

Abstract

Gastrointestinal stromal tumors (GIST) are mostly located in the stomach, small intestine, colorectal, and rarely in the duodenum. We report a rare case of duodenal GIST in a 48-year-old female patient identified with computed tomography scan (CT scan), esophagogastroduodenoscopy, and confirmed by histopathology examinations.

Keywords: Gastrointestinal stromal tumor, GIST, Duodenal Tumor.

References 

1. Ito T, Kushida T, Sakurada M, Tanaka K, Sato K, Maekawa H. Complete wedge resection for duodenal gastrointestinal stromal tumour: A case series of three patients. Int J Surg Case Rep. 2021;90:106674.
2. Liu Q, Kong F, Zhou J, Dong M, Dong Q. Management of hemorrhage in gastrointestinal stromal tumors: a review. Cancer Manag Res. 2018;10:735-743.
3. Werewka-Maczuga A, Osiński T, Chrzan R, Buczek M, Urbanik A. Characteristics of computed tomography imaging of gastrointestinal stromal tumor (GIST) and related diagnostic problems. Pol J Radiol. 2011;76(3):38-48.
4. Dias de Castro F, Magalhes J, Monteiro S, Leite S, Cotter J. The Role of Endoscopic Ultrasound in the Diagnostic Assessment of Subepithelial Lesions of the Upper Gastrointestinal Tract. GE – Port J Gastroenterol. 2016;23(6):287-292.
5. Lau S, Tam KF, Kam CK, et al. Imaging of gastrointestinal stromal tumour (GIST). Clin Radiol. 2004;59(6):487-498.
6. Joensuu H, Vehtari A, Riihimki J, et al. Risk of recurrence of gastrointestinal stromal tumour after surgery: an analysis of pooled population-based cohorts. Lancet Oncol. 2012;13(3):265-274.
7. Joensuu H, Rutkowski P, Nishida T, et al. KIT, and PDGFRA Mutations and the Risk of GI Stromal Tumor Recurrence. J Clin Oncol. 2015;33(6):634-642.
8. Joensuu H, Martin-Broto J, Nishida T, Reichardt P, Schưffski P, Maki RG. Follow-up strategies for patients with gastrointestinal stromal tumour treated with or without adjuvant imatinib after surgery. Eur J Cancer. 2015;51(12):1611-1617.