Old concurrent gastrointestinal stromal tumors of gastric cancer - clinical analysis of 9 cases of colorectal cancer.docVIP

 PAGE \* MERGEFORMAT 8 Old concurrent gastrointestinal stromal tumors of gastric cancer / clinical analysis of 9 cases of colorectal cancer Of: Jiang Jing Jin Meishan Wang Yinping Cao Xueyuan [Keywords:] gastrointestinal stromal tumors, gastric cancer, colorectal cancer Gastrointestinal stromal tumor (gastrointestinal stromal tumor, GIST is a spindle cell-based, a small amount of epithelial-like cells or a combination of both mesenchymal tumor, occurring mainly in the gastrointestinal tract, mesentery and peritoneum. So far GIST Concurrent gastrointestinal epithelial tumor is still rare reports, its mechanism is not clear. now in our hospital from January 2004 to March 2009 among 178 patients with GIST patients, associated with gastric cancer, colorectal cancer 9 patients with clinical data analyzed as follows. 1 Materials and Methods 1.1 General Information 9 cases of GIST patients in this group of 6 males and 3 females, aged 61 to 86 years, median age 73 years, each of the patients were pathologically confirmed cases of gastric cancer / colorectal cancer and GIST coexist. Clinical manifestations: 1 course 9 months, with a median duration of 5 months. symptoms: abdominal pain, abdominal distension in 5 cases, 2 cases of obstruction, melena in 1 case, lower abdominal mass in 5 cases, 1 case of sepsis it. gastroscopy before surgery / bowel microscopy: 9 cases of gastrointestinal cancer were seen within the lesion, swelling in 7 cases, ulcer type 2 patients, biopsy confirmed adenocarcinoma and signet ring cell carcinoma. preoperative CT examination revealed 1 patient in front of the rectum with a diameter of 8.0 cm soft-tissue shadow, consider colon cancer with peritoneal metastasis, but not excluding GIST, 1 found that cardiac patients gastroscopy submucosal tumor, considering GIST. all cases and no family history of gastrointestinal cancer, family history of GIST. 1.2 Methods 4 patients underwent radical gastrectomy, 4 patients unde