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Gastrointestinal stromal tumor metastasis at the site of a totally implantable venous access port insertion:A rare case report 被引量:1
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作者 Xiao-Nan Yin Yuan Yin +5 位作者 Jiang Wang Chao-Yong Shen Xin Chen Zhou Zhao Zhao-Lun Cai Bo Zhang 《World Journal of Clinical Cases》 SCIE 2020年第20期5007-5012,共6页
BACKGROUND The totally implantable venous access port(TIVAP)is an important device in patients for injecting blood products,parenteral nutrition or antineoplastic chemotherapy.Metastatic spread at the site of the inse... BACKGROUND The totally implantable venous access port(TIVAP)is an important device in patients for injecting blood products,parenteral nutrition or antineoplastic chemotherapy.Metastatic spread at the site of the insertion of a TIVAP is extremely rare.CASE SUMMARY We report the case of 33-year-old male with advanced gastrointestinal stromal tumor(GIST)who underwent radical tumor resection after neoadjuvant imatinib therapy.However,a solitary GIST metastasis at the site of a TIVAP insertion developed during adjuvant imatinib treatment.Mutational analysis showed secondary mutation in KIT exon 13(V564 A),which is resistant to imatinib treatment.To our knowledge,this is the first case report of a patient with advanced GIST developing GIST metastasis at the site of a TIVAP insertion.CONCLUSION This case highlights that when a patient with advanced,high metastatic GIST requires TIVAP insertion,we should realize that there is a risk of developing tumor metastasis at the site of a TIVAP insertion. 展开更多
关键词 Tumor metastasis Gastrointestinal stromal tumor totally implantable venous access port Targeted therapy Mutational analysis Computed tomography Case report
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Basilic vein variation encountered during surgery for arm vein port:A case report
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作者 Cheng-Da Hu Rui Lv +3 位作者 Ya-Xin Zhao Ming-Hao Zhang Hong-Dou Zeng Yi-Wen Mao 《World Journal of Clinical Cases》 SCIE 2024年第12期2086-2091,共6页
BACKGROUND Venous variations are uncommon and usually hard to identify,and basilic vein variation is particularly rare.Basilic vein variation usually presents without any clinical symptoms and is often regarded as a b... BACKGROUND Venous variations are uncommon and usually hard to identify,and basilic vein variation is particularly rare.Basilic vein variation usually presents without any clinical symptoms and is often regarded as a benign alteration.This case was a patient with congenital basilic vein variation encountered during surgery for an infusion port.CASE SUMMARY We documented and analyzed an uncommon anatomical variation in the basilic vein encountered during arm port insertion.This peculiarity has hitherto remained undescribed in the literature.We offer remedial strategies for addressing this anomaly in the future and precautionary measures to circumvent its occurrence.We conducted a comprehensive review of analogous cases in the literature,offering pertinent therapeutic recommendations and solutions,with the aim of enhancing the efficacy and safety of future arm port implantations.CONCLUSION Venous variation is rare and requires detailed intraoperative and postoperative examination to ensure accuracy,so as not to affect subsequent treatment. 展开更多
关键词 totally implantable venous access ports Arm ports venous variation Postoperative breast cancer Systematic review Case report
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