Plexiform Myxoid Gastrointestinal Stromal Tumor, A Rare Histological Pattern Located in the Small Intestine: A Case Report
Yıl 2022,
Cilt: 44 Sayı: 1, 129 - 133, 14.01.2022
Leymune Parlak
,
Rabia Altunbaş
Erdem Özdemir
Emine Zeynep Tarini
,
Buket Gedik
Öz
Gastrointestinal stromal tumor (GIST) is the most common mesenchymal tumor of the gastrointestinal system originating from kajal cells. It is frequently seen after the age of 50 and 60% in the stomach, the second most frequently in the jejunum and ileum (30%). Small bowel residents have 40-50% more malignant prognosis than those in the stomach. In addition, small intestine GISTs do not constitute distinctive histological subtypes like gastric GISTs. They are mostly spindle cell. Epithelioids, on the other hand, constitute a very small part. In our case, in addition to epithelioid and spindle cell features, there is a plexiform growth pattern and myxoid stroma in the ground.
Kaynakça
- 1.Barsouk A, Rawla P, Barsouk A, Thandra KC. Epidemiology of Cancers of the Small Intestine: Trends, Risk Factors, and Prevention. Med Sci. 2019;7(3):46. doi:10.3390/medsci7030046
- 2. Jumniensuk C, Charoenpitakchai M. Gastrointestinal stromal tumor: Clinicopathological characteristics and pathologic prognostic analysis. World J Surg Oncol. 2018;16(1):1-9. doi:10.1186/s12957-018-1532-1
- 3. Peng F, Liu Y. Gastrointestinal stromal tumors of the small intestine: Progress in diagnosis and treatment research. Cancer Manag Res. 2020;12:3877-3889. doi:10.2147/CMAR.S238227
- 4. Miettinen M, Lasota J. Gastrointestinal stromal tumors: Review on morphology, molecular pathology, prognosis, and differential diagnosis. Arch Pathol Lab Med. 2006;130(10):1466-1478. doi:10.5858/2006-130-1466-gstrom
- 5. Miettinen M, Lasota J. Gastrointestinal stromal tumors: Pathology and prognosis at different sites. Semin Diagn Pathol. 2006;23(2):70-83. doi:10.1053/j.semdp.2006.09.001
- 6. Bulu H, Aydin A, Yavuz A, Tanto U, Kuru S, Co A. RevieGastroi̇ntesti̇nal Stromal Tümörler : Derleme Gastrointestinal Stromal Tumours : a. 2012;6(3):101-107.
- 7. Tornillo L. Gastrointestinal stromal tumor - an evolving concept. Front Med. 2014;1(NOV). doi:10.3389/fmed.2014.00043
- 8. Wu CE, Tzen CY, Wang SY, Yeh CN. Clinical diagnosis of gastrointestinal stromal tumor (Gist): From the molecular genetic point of view. Cancers (Basel). 2019;11(5):1-15. doi:10.3390/cancers11050679
- 9. Giustiniani MC, Papa V, Martini M, et al. Plexiform architecture in gastrointestinal stromal tumors is not restricted to succinate dehydrogenase-deficient cases. Hum Pathol Case Reports. 2018;13(April):69-72. doi:10.1016/j.ehpc.2018.05.009
- 10. Li B, Zhang QF, Han YN, Ouyang L. Plexiform myxoid gastrointestinal stromal tumor: A potential diagnostic pitfall in pathological findings. Int J Clin Exp Pathol. 2015;8(10):13613-13618.
- 11. Setsu N, Miyake M, Wakai S, et al. Primary Retroperitoneal Myxoid Liposarcomas. Am J Surg Pathol. 2016;40(9):1286-1290. doi:10.1097/PAS.0000000000000657
- 12. Prakash S, Antonescu CR. Deep-Seated Plexiform Schwannoma. 2005;10021:1042-1048.
- 13. Shannalee R. Martinez, Maresha S. Gay and LZ. 乳鼠心肌提取 HHS Public Access. Physiol Behav. 2016;176(1):139-148. doi:10.1007/s00256-018-3050-1.Plexiform
Pleksiform Miksoid Gastrointestinal Stromal Tümör, İnce Barsak Yerleşimli Nadir Bir Histolojik Patern: Olgu Sunumu
Yıl 2022,
Cilt: 44 Sayı: 1, 129 - 133, 14.01.2022
Leymune Parlak
,
Rabia Altunbaş
Erdem Özdemir
Emine Zeynep Tarini
,
Buket Gedik
Öz
Gastrointestinal stromal tümör (GİST) gastrointestinal sistemin en sık görülen, kajal hücrelerinden köken alan mezenkimal tümörüdür. Sıklıkla 50 yaş sonrası ve %60 oranında midede, ikinci sıklıkla jejunum ve ileumda (%30) görülür. İnce barsak yerleşimliler midede bulunanlara göre %40-50 daha fazla malign seyirlidir. Ayrıca ince bağırsak GISTleri mide GISTleri gibi ayırt edici histolojik alt tipler oluşturmazlar. Çoğunlukla iğsi hücrelidirler. Epiteloidler ise çok küçük bir kısmını oluşturur. Bizim sunacağımız olguda epiteloid ve iğsi hücre özelliklerine ek olarak pleksiform büyüme paterni ve zeminde miksoid stroma bulunmaktadır.
Kaynakça
- 1.Barsouk A, Rawla P, Barsouk A, Thandra KC. Epidemiology of Cancers of the Small Intestine: Trends, Risk Factors, and Prevention. Med Sci. 2019;7(3):46. doi:10.3390/medsci7030046
- 2. Jumniensuk C, Charoenpitakchai M. Gastrointestinal stromal tumor: Clinicopathological characteristics and pathologic prognostic analysis. World J Surg Oncol. 2018;16(1):1-9. doi:10.1186/s12957-018-1532-1
- 3. Peng F, Liu Y. Gastrointestinal stromal tumors of the small intestine: Progress in diagnosis and treatment research. Cancer Manag Res. 2020;12:3877-3889. doi:10.2147/CMAR.S238227
- 4. Miettinen M, Lasota J. Gastrointestinal stromal tumors: Review on morphology, molecular pathology, prognosis, and differential diagnosis. Arch Pathol Lab Med. 2006;130(10):1466-1478. doi:10.5858/2006-130-1466-gstrom
- 5. Miettinen M, Lasota J. Gastrointestinal stromal tumors: Pathology and prognosis at different sites. Semin Diagn Pathol. 2006;23(2):70-83. doi:10.1053/j.semdp.2006.09.001
- 6. Bulu H, Aydin A, Yavuz A, Tanto U, Kuru S, Co A. RevieGastroi̇ntesti̇nal Stromal Tümörler : Derleme Gastrointestinal Stromal Tumours : a. 2012;6(3):101-107.
- 7. Tornillo L. Gastrointestinal stromal tumor - an evolving concept. Front Med. 2014;1(NOV). doi:10.3389/fmed.2014.00043
- 8. Wu CE, Tzen CY, Wang SY, Yeh CN. Clinical diagnosis of gastrointestinal stromal tumor (Gist): From the molecular genetic point of view. Cancers (Basel). 2019;11(5):1-15. doi:10.3390/cancers11050679
- 9. Giustiniani MC, Papa V, Martini M, et al. Plexiform architecture in gastrointestinal stromal tumors is not restricted to succinate dehydrogenase-deficient cases. Hum Pathol Case Reports. 2018;13(April):69-72. doi:10.1016/j.ehpc.2018.05.009
- 10. Li B, Zhang QF, Han YN, Ouyang L. Plexiform myxoid gastrointestinal stromal tumor: A potential diagnostic pitfall in pathological findings. Int J Clin Exp Pathol. 2015;8(10):13613-13618.
- 11. Setsu N, Miyake M, Wakai S, et al. Primary Retroperitoneal Myxoid Liposarcomas. Am J Surg Pathol. 2016;40(9):1286-1290. doi:10.1097/PAS.0000000000000657
- 12. Prakash S, Antonescu CR. Deep-Seated Plexiform Schwannoma. 2005;10021:1042-1048.
- 13. Shannalee R. Martinez, Maresha S. Gay and LZ. 乳鼠心肌提取 HHS Public Access. Physiol Behav. 2016;176(1):139-148. doi:10.1007/s00256-018-3050-1.Plexiform