ETIOLOGIES AND CLINICAL CHARASTERISTICS OF CEPHALITIS IN CHILDREN OF AN GIANG PROVINCE

Nguyễn Công Long1,, Chử Quang Huy2, Vũ Trường Khanh1
1 Department of Gastroenterology and Hepatology, Bach Mai Hospital
2 National Lung Hospital

Main Article Content

Abstract

Objective: To identify imaging characteristics of endoscopic and endoscopic ultrasonography for the diagnosis of gastrointestinal stromal tumors (GIST) in gastric. Subjects and methods:  Patients who had gastric stromal tumors diagnosed by Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) or surgery were enrolled. The EUS images, procedure records and tissue histopathology were reviewed. All patients were positive for C-kit, CD34. Results: Of the 28 patients enrolled, 10 were males, and 18 were females. The mean size of lesion was 3.94 ± 0.73 cm (ranged from 1.8 to 6.2 cm).  In total, 75%, 21.4%, and 3.6 % tumors originated from muscularis mucosa, submucosa, and muscularis propria, respectively. 50% and 46.4% of these lesions were characterized by hypoechoic, heterogeneous respectively.  Conclusion: The preliminary results show that most of the GISTs originated from muscularis mucosa with characterized by hypoechoic.  

Article Details

References

1. Miettinen M, Sobin LH, Lasota J: Gastrointestinal stromal tumors of the stomach: a clinicopathologic, immunohistochemical, and molecular genetic study of 1765 cases with long-term follow-up. The American journal of surgical pathology 2005, 29(1):52-68.
2. Hwang JH, Rulyak SD, Kimmey MB: American Gastroenterological Association Institute technical review on the management of gastric subepithelial masses. Gastroenterology 2006, 130(7):2217-2228.
3. Sepe PS, Brugge WR: A guide for the diagnosis and management of gastrointestinal stromal cell tumors. Nature reviews Gastroenterology & hepatology 2009, 6(6):363-371.
4. Akahoshi K, Sumida Y, Matsui N, Oya M, Akinaga R, Kubokawa M, Motomura Y, Honda K, Watanabe M, Nagaie T: Preoperative diagnosis of gastrointestinal stromal tumor by endoscopic ultrasound-guided fine needle aspiration. World J Gastroenterol 2007, 13(14):2077-2082.
5. Di Vita M, Zanghì A, Cavallaro A, Cardì F, Uhlig M, Ursi P, Lo Menzo E, Panebianco V, Cappellani A: Gastric GIST and prognostic models. Which is the best to predict survival after surgery? Annali italiani di chirurgia 2019, 90:31-40.
6. Miettinen M, Sarlomo-Rikala M, Lasota J: Gastrointestinal stromal tumors: recent advances in understanding of their biology. Human pathology 1999, 30(10):1213-1220.
7. Martínez-Ares D, Souto-Ruzo J, Yáñez López J, Vázquez Iglesias JL: Usefulness of endoscopic ultrasonography in the preoperative diagnosis of submucosal digestive tumours. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva 2005, 97(6):416-426.
8. Palazzo L, Landi B, Cellier C, Cuillerier E, Roseau G, Barbier JP: Endosonographic features predictive of benign and malignant gastrointestinal stromal cell tumours. Gut 2000, 46(1):88-92.
9. Shah P, Gao F, Edmundowicz SA, Azar RR, Early DS: Predicting malignant potential of gastrointestinal stromal tumors using endoscopic ultrasound. Digestive diseases and sciences 2009, 54(6):1265-1269.