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作 者:祝清国[1] 赵亚昆[1] 刘伟[1] 高治忠[1]
机构地区:[1]哈尔滨医科大学附属第二医院,黑龙江哈尔滨150086
出 处:《现代肿瘤医学》2009年第7期1295-1297,共3页Journal of Modern Oncology
摘 要:目的:探讨经前列腺穿刺活检证实胃肠道间质瘤(GIST)的临床应用。方法:报道一例经前列腺穿刺活检证实的GIST临床资料,并结合文献复习就其诊疗问题予以讨论。结果:活检标本经免疫酶组织化学证实为GIST,肿瘤组织巨大,未行手术治疗,应用酪氨酸激酶抑制剂伊马替尼治疗,随访12个月,患者仍存活,继续随访中。结论:经前列腺穿刺活检证实的GIST可能是前列腺或直肠部位的肿瘤,需手术切除标本方能确定。GIST与前列腺其他部位的肿瘤需通过免疫组化检查确定。完整的肿瘤切除并辅以伊马替尼是治疗GIST的有效手段。Objective :To explore the clinical character of gastrointestinal stromal tumor(GIST) examined by prostate needlebiopsy. Methods: A ease of GIST on prostate needle biopsy was reported and some questions about this disease was discussed with reviewing related literatures, Results: The biopsy specimen was proved to be GIST through immuno - enzymohistochemistry, the tumor was too huge to be resected. Imatinib was used to treat with this tumor and in 12 months the patient was still alive. Conclusion: GIST proved by prostate needle biopsy may be in prostate or rectum,which can only be determined through resection sample. GIST should be differentiated from other stromal tumor of prostate, immuno - enzymohistochemistry is very useful. Complete resection of the tumor and imatinib are effective in treating GIST.
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