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| Repeat resection of liver metastases from gastrointestinal stromal tumor | |
| 引用本文： | 丁光辉,杨家和,程树群,李楠,刘凯,戴炳华,张树辉,丛文铭,吴孟超. Repeat resection of liver metastases from gastrointestinal stromal tumor[J]. 中国人民解放军军医大学学报, 2006, 21(5) |
| 作者姓名： | 丁光辉 杨家和 程树群 李楠 刘凯 戴炳华 张树辉 丛文铭 吴孟超 |
| 作者单位： | Department of Comprohensive Treatment Eastern Hepatobiliary Surgery Hospital，Second Military Medical University，Department of Comprohensive Treatment，Eastern Hepatobiliary Surgery Hospital，Second Military Medical University，Department of Comprohensive Treatment，Eastern Hepatobiliary Surgery Hospital，Second Military Medical University，Department of Comprohensive Treatment，Eastern Hepatobiliary Surgery Hospital，Second Military Medical University，Department of Comprohensive Treatment，Eastern Hepatobiliary Surgery Hospital，Second Military Medical University，Department of Comprohensive Treatment，Eastern Hepatobiliary Surgery Hospital，Second Military Medical University，Department of Pathology，Eastern Hepatobiliary Surgery Hospital，Second Military Medical University，Department of Pathology，Eastern Hepatobiliary Surgery Hospital，Second Military Medical University，Department of Comprohensive Treatment，Eastern Hepatobiliary Surgery Hospital，Second Military Medical University，Shanghai 200433，China，Shanghai 200433，China，Shanghai 200433，China，Shanghai 200433，China，Shanghai 200433，China，Shanghai 200433，China，Shanghai 200433，China，Shanghai 200433，China，Shanghai 200433，China |
| 摘 要： | A 44-year-old man, who was diagnosed with a gastrointestinal stromal tumor incidentally during emergency laparotomy for treatment of acute obstruction of small intestine at another hospital in 1999, was referred to our hospital due to a solitary metastasis in the liver in November 2002. A right segmentectomy (Segment 6, Couinaud‘s system) of liver was carried out. Half and one years later, a recurrent metastasis with involvement of the inferior vena cava was detected in posterior region of the liver. He underwent the third surgery in May 2004. Three another small metastases in greater omentum were found and removed. The tumor in posterior sector of the liver was en bloc resected with portion of involved inferior vena cava and diaphragm. The resected vena cava is repaired primarily through a lateral venorraphy.However, local recurrence was detected one year later, he recieved the fourth surgery in July 2005. He is now in Gleevec therapy. At present, he is in good health and free of recurrence. |
Repeat resection of liver metastases from gastrointestinal stromal tumor |
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| DING Guang-hui,YANG Jia-he,CHENG Shu-qun,LI Nan,LIU Kai,DAI Bing-hua,ZHANG Shu-hui,CONG Wen-ming,WU Meng-chao. Repeat resection of liver metastases from gastrointestinal stromal tumor[J]. Journal of Medical Colleges of PLA(China), 2006, 21(5) | |
| Authors: | DING Guang-hui YANG Jia-he CHENG Shu-qun LI Nan LIU Kai DAI Bing-hua ZHANG Shu-hui CONG Wen-ming WU Meng-chao |
| Affiliation: | Departrment of Comprohensive Treatment,Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai,200433,China Departrment of Comprohensive Treatment,Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai,200433,China Departrment of Comprohensive Treatment,Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai,200433,China Departrment of Comprohensive Treatment,Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai,200433,China Departrment of Comprohensive Treatment,Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai,200433,China Departrment of Comprohensive Treatment,Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai,200433,China Department of Pathology,Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai,200433,China Department of Pathology,Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai,200433,China Departrment of Comprohensive Treatment,Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai,200433,China |
| Abstract: | A 44-year-old man. who was diagnosed with a gastrointestinal stromal tumor incidentally during emergency laparotomy for treatment of acute obstruction of small intestine at another hospital in 1999, was referred to our hospital due to a solitary metastasis in the liver in November 2002. A right seg-mentectomy (Segment 6, Couinaud's system) of liver was carried out. Half and one years later, a recurrent metastasis with involvement of the inferior vena cava was detected in posterior region of the liver. He underwent the third surgery in May 2004. Three another small metastases in greater omentum were found and removed. The tumor in posterior sector of the liver was en bloc resected with portion of involved inferior vena cava and diaphragm. The resected vena cava is repaired primarily through a lateral venorraphy. However, local recurrence was detected one year later, he recieved the fourth surgery in July 2005. He is now in Gleevec therapy. At present, he is in good health and free of recurrence. |
| Keywords: | liver resection inferior vena cava gastrointestinal stromal tumor liver metastases Gleevec |
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