EARLY RESULTS OF SUGICAL TREAMENT OF GASTROINTESTINAL STROMAL TUMOR LOCALIZED IN THE STOMACH AT SURGERY, BACH MAI HOSPITAL

Lun Panha1, Trần Quế Sơn1,2, Trần Hiếu Học1,2,
1 Hanoi Medical University
2 Surgery Department, Bach Mai Hospital

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Abstract

Objectives: To describe some clinical, paraclinical features and surgical results of this disease. Material and methods: A descriptive study of the case series of GIST localized in the stomach operated at Bach Mai hospital from 2016 to 2019. Results: There was 50 patients with mean age 56.3±12.6 and male/female ratio of 0,79. The abdominal pain was common symptom (94%), the endoscopy showed mucosal ulceration 52% and tumor locations were primarily at body and pyloric antrum (74%); computed tomography showed the tumor size of 9.2±9.0 cm, regular margins 88%, two immune markers CD117 and CD 34 were present in 100%. The wedge gastrectomy was most commonly used technique (76%); mean time of gas was of 1.9±0.7 days, gastric sonde removal of 2.5±1.3 days, re-feeding 3.2±1.2 days, length of hospital stay of 6.2 day. The peroperative bleeding was of 4.0%, wound infection of 8.0%. Conclusion: The diagnosis was mainly based on endoscopy and computed tomography and the accuracy was on immunohistochemistry. Early results are usually good, but further long-term follow-up was needed.

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References

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