Caracterización de paciente con tumores estromales gastrointestinales en Hospital Clínico-Quirúrgico “Arnaldo Milián Castro”
Revista Cubana de Cirugía(2021)
摘要
Gastrointestinal stromal tumor is the most frequent mesenchymal neoplasm in the digestive tract, its diagnosis and treatment is still controversial because it is infrequent. Objective: To characterize the patients with gastrointestinal stromal tumors treated in our service. Methods: A longitudinal descriptive observational study was carried out in patients with gastrointestinal stromal tumors treated in the surgery service of the “Arnaldo Milian Castro” Clinical-Surgical Hospital from 2015 to 2018. The sample consisted of 17 patients. Results: Female patients between 60 and 69 years old (35.3%) predominated (58.82%). Abdominal pain as the most frequent symptom (58.82%). Tumors (47.1%) measured more than 10 cm, spindle cell cellularity (58.8%), mitotic index less than 5 (70.6%), and no infiltrative growth pattern (70.6%). Metastasis absent in (82.4%). Present with equal frequency in the stomach and small intestine (N = 8), the presence of low and high aggressive behavior (35.3%) was the same. The markers CD.117 (41.2%) and CD.34 (35.3%) predominated. Segmental recession of the small intestine with end-to-end anastomosis was the most widely used surgical technique (35.3%). Conclusions: Despite being mostly large and found in high portions of the digestive tract, many presented a low mitotic index, however, a considerable group presented aggressive behavior. Although it is true that almost all the patients were discharged alive, there is a lack of follow-up at the center, which would be interesting to evaluate in future studies.
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