A Case of Jejunal Gastrointestinal Stromal Tumor Diagnosed by Videocapsule Endoscopy and Single-Balloon Enteroscopy / 이화의대지
The Ewha Medical Journal
; : 114-118, 2012.
Article
em Ko
| WPRIM
| ID: wpr-211922
Biblioteca responsável:
WPRO
ABSTRACT
Gastrointestinal stromal tumors (GISTs) are common mesenchymal tumors that arise in the wall of the gastrointestinal tract. We report a case of obscure gastrointestinal bleeding due to a GIST of the jejunum successfully documented by videocapsule endoscopy (VCE) and single-balloon enteroscopy (SBE). A 36-year-old man with hematochezia was referred for further evaluation of no evidence of bleeding focus on esophagogastroduodenoscopy and colonoscopy. A VCE showed a suspicious ulcerative hyperemic mass that located in about 1 hour apart from duodenal second portion. SBE revealed a nonbleeding 4x2 cm mass with an ulcer at the proximal jejunum. The patient underwent laparoscopic resection without complication. Histological examination revealed a well circumscribed, dumbbell-shaped firm mass comprised of spindle cells. Immunohistochemical staining for CD 117 was diffusely positive, whereas staining for S-100, CD 34 and MIB-1 was all negative. It was confirmed to be a low-grade GIST at the proximal jejunum.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Úlcera
/
Endoscopia do Sistema Digestório
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Colonoscopia
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Trato Gastrointestinal
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Tumores do Estroma Gastrointestinal
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Endoscopia
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Endoscopia por Cápsula
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Hemorragia
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Hemorragia Gastrointestinal
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Jejuno
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
The Ewha Medical Journal
Ano de publicação:
2012
Tipo de documento:
Article