Gastrointestinal stromal tumor of the small intestine (clinical observation)

Materials of clinical observation of the case of gastrointestinal stromal tumor of the small intestine and the combined treatment in this pathology are presented. Patient M., aged 71 years, was treated for severe iron deficiency anemia for 1.5 months before admission. According to MRI of the pelvic organs in the projection of the right ovary a volumetric cystic-solid neoplasm was determined. After a clinical examination of the patient, it was decided to perform surgery with laparoscopically assisted access. Intraoperatively, a tumor of the small intestine was determined in the abdominal cavity without invasion into adjacent organs and tissues. The area of the intestine with a tumor after mobilization is brought out, resected over, a hardware small-intestinal anastomosis of the «side-to-side» type is formed. On the 7th day was discharged in satisfactory condition. At the place of residence, the patient underwent targeted therapy: for 6 months she received imatinib at a dosage of 400 mg/day. Based on the experience of surgical treatment of 67 patients with similar pathology, it was concluded that the use of laparoscopic technology allows to reduce intraoperative trauma, achieve early activation of patients, minimize bed-time and contribute to the achievement of good oncological treatment results.

gastrointestinal stromal tumor of the small intestine, surgical treatment, targeted therapy