Rare rectal gastrointestinal stromal tumor case: A case report and review of the literature.

Rare rectal gastrointestinal stromal tumor case: A case report and review of the literature.
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DOI:
10.12998/wjcc.v11.i28.6797
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发表时间:
2023-10-06
影响因子:
1.1
通讯作者:
Cao, Yong-Qing
Cao, Yong-Qing
中科院分区:
医学4区
文献类型:
--
作者:
Dong, Ruo-Xi;Wang, Chen;Zhou, Hao;Yin, Hao-Qiang;Liu, Yang;Liang, Hong-Tao;Pan, Yi-Bin;Wang, Jia-Wen;Cao, Yong-Qing

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胃肠道间质瘤(GIST)是一种罕见的胃肠道肿瘤,占所有肠道肿瘤的不到1%。直肠肿瘤非常罕见,与其他部位相比,这些肿瘤通常出现在晚期。一位60岁男性,以直肠下斜视感觉为主诉,经常规检查发现直肠下端肿块,转诊至本科就诊。采用结肠镜、经直肠B超、肛周磁共振成像及超声造影剂诊断直肠GIST,并用超声刀行经肛门全切。患者在手术后10天出院,被定义为低风险。因此,他不需要接受随后的辅助治疗,在随访时他没有遭受任何肛门功能障碍或任何复发的证据。切缘阴性的手术切除是直肠GIST的标准治疗方法。根据肿瘤的位置、大小和可切除性选择合适的手术方法应引起临床医生的高度重视。
Gastrointestinal stromal tumors (GISTs) are rare tumors of the gastrointestinal tract accounting for less than 1% of all gut tumors. GISTs occurring in the rectum are extremely rare, and these usually present at an advanced stage compared with other sites. A 60-year-old male who presented with features of sensations of rectal tenesmus was referred to our department with a mass in the lower rectum that was detected during a routine checkup. Colonoscopy, transrectal ultrasound, perianal magnetic resonance imaging and ultrasonic contrast were used to diagnose the rectum GIST, and then the patient underwent complete transanal resection using the ultrasonic scalpel. The patient was discharged ten days after the operation and was defined as low risk. Therefore, he had no need to receive subsequent adjuvant therapies, and he had not suffered any anal dysfunction or had any evidence of recurrence at follow up. Surgical resection with histologically negative margins is the standard curative treatment for rectal GISTs. Appropriate surgical techniques based on the location, size, and resectability of the tumor should attract great attention from clinicians.
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