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Gastric Stromal Tumor Extends into Mediastinum and Thoracic Cavity: A Case Report

胃間質瘤延伸入縱膈腔和胸腔:病例報告

摘要


在台灣,胃腸道間質瘤每年的發生率約為每百萬人13.74例。約百分之十到三十的胃腸道間質瘤會有惡性的表現,包括局部侵犯及遠端轉移。雖然食道發生的間質瘤直接侵犯到肺部曾有一個案被報導,但罕有胃部發生的間質瘤被報導會延伸入縱膈腔和胸腔。在此,我們報告一極為罕見之案例:胃部發生的間質瘤延伸入縱膈腔和胸腔並疑似侵犯肺部,患者主要以呼吸症狀來表現。

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並列摘要


The annual incidence of gastrointestinal stromal tumor (GIST) is 13.74 per million population in Taiwan. About 10-30% of GISTs have malignant behaviors including invasion and metastases. Although one case of primary esophageal stromal tumor with direct invasion into the lung parenchyma has been reported, rarely has a gastric stromal tumor been documented to extend into mediastinum and thoracic cavity. We report an extremely rare case of primary gastric stromal tumor with extension into mediastinum and thoracic cavity and suspicious invasion of lung, presenting predominantly with respiratory symptoms.

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