Gastrointestinal stromal tumor (GIST) is very rare in infancy. Most of the re ported cases in the literature are in adults; some are in children but there are a few reported cases in the literature. The present case i...Gastrointestinal stromal tumor (GIST) is very rare in infancy. Most of the re ported cases in the literature are in adults; some are in children but there are a few reported cases in the literature. The present case is a 6- day- old fem ale neonate presenting with lethargy, poor feeding, constipation, abdominal dist ention, and rectal bleeding. She was operated on with the impression of intestin al obstruction, and right hemicolectomy was performed on her. Surgical specimen showed a well- defined and round 3- cm mass in the cecal area. Diagnosis was m ade by histologic and immunohistochemical studies which showed a GIST. The tumor showed positive vimentin and c- kit but negative for all other markers (desmin , actin, S100, NSE, and CD- 34). So the case was an undifferentiated GIST. Afte r 1 year of follow- up the patient was completely normal.展开更多
To describe our experience with extraperitoneal lymph node staging in gynecologic oncology. The extraperitoneal approach was performed to assess the lymph node histology in patients with gynecologic malignancies. The ...To describe our experience with extraperitoneal lymph node staging in gynecologic oncology. The extraperitoneal approach was performed to assess the lymph node histology in patients with gynecologic malignancies. The nodes are approached froma lateral approach after dissecting open the extraperitoneal space bluntly and with insufflation. Bilateral aortic nodes are taken from a left- sided or right- sided approach depending on the patient’ s characteristics. Forty- six patients underwent this procedure over a 2.5- year period. Thirty- seven patients had cervical cancer. The median BMI was 27.1 (17.7- 38.1). The median lymph node yield was 14 (0- 60). Two patients had disruption of the peritoneumsuch that the aortic lymphadenectomy had to be completed transperitoneally. No patients required laparotomy. No patients required transfusion. This technique permits histologic evaluation of the retroperitoneal nodes with minimal risk of intraabdominal adhesions. Recovery is rapid and further therapy can be prescribed shortly. The data on the nodes can assist in treatment planning.展开更多
文摘Gastrointestinal stromal tumor (GIST) is very rare in infancy. Most of the re ported cases in the literature are in adults; some are in children but there are a few reported cases in the literature. The present case is a 6- day- old fem ale neonate presenting with lethargy, poor feeding, constipation, abdominal dist ention, and rectal bleeding. She was operated on with the impression of intestin al obstruction, and right hemicolectomy was performed on her. Surgical specimen showed a well- defined and round 3- cm mass in the cecal area. Diagnosis was m ade by histologic and immunohistochemical studies which showed a GIST. The tumor showed positive vimentin and c- kit but negative for all other markers (desmin , actin, S100, NSE, and CD- 34). So the case was an undifferentiated GIST. Afte r 1 year of follow- up the patient was completely normal.
文摘To describe our experience with extraperitoneal lymph node staging in gynecologic oncology. The extraperitoneal approach was performed to assess the lymph node histology in patients with gynecologic malignancies. The nodes are approached froma lateral approach after dissecting open the extraperitoneal space bluntly and with insufflation. Bilateral aortic nodes are taken from a left- sided or right- sided approach depending on the patient’ s characteristics. Forty- six patients underwent this procedure over a 2.5- year period. Thirty- seven patients had cervical cancer. The median BMI was 27.1 (17.7- 38.1). The median lymph node yield was 14 (0- 60). Two patients had disruption of the peritoneumsuch that the aortic lymphadenectomy had to be completed transperitoneally. No patients required laparotomy. No patients required transfusion. This technique permits histologic evaluation of the retroperitoneal nodes with minimal risk of intraabdominal adhesions. Recovery is rapid and further therapy can be prescribed shortly. The data on the nodes can assist in treatment planning.
