[Intestinal stromal tumor with large unique hepatic metastasis--diagnostic difficulties]. / Tumora stromala intestinala cu metastaza hepatica unica voluminoasa--dificultati de diagnostic.

The digestive tract mesenchymal neoplasms were viewed modified radically once it was discovered that gastrointestinal stromal tumors (GIST), the most frequent non-epithelial digestive tumors, constitute a distinctive group of tumors originating in the interstitial cells of Cajal, cells which normally express the CD117 antigen. The discovery of GIST's origin and understanding of the molecular mechanisms underlying the development of such tumors have led to important progress concerning their diagnosis and treatment. Thus, tumoral expression of c-KIT (CD117) is presently considered to be the most specific criterion for the diagnosis of GIST, and targeted molecular therapy using thyrosin-kinase inhibitors (imatinib) has encouraging results even in the case of locally advanced or metastatic tumors. This is the case of a 47 year old man who accused nonspecific abdominal symptomatology due to a large epigastric tumor which, postoperatively, proved to be the metastasis of a stromal enteral tumor.

Contributions to the study of the etiology of serofibrinous pleurisy in Romania, under the present epidemiological conditions. Evaluation of the etiological role of viruses.

A number of 56 serofibrinous pleurisy cases were subjected to several usual diagnostic tests, as well as to virological investigations. Significant rises in serum antibody titers to different viruses were recorded in 25 cases; the presence of virus antigens in cells from the pleural fluid could be visualized by immunofluorescence in 11 patients. In many cases there was evidence suggesting multiple viral infection. The contribution of various investigation methods to differential diagnosis is discussed and the etiological patterns specific to different territories are outlined.