Stift A, Friedl J, Gnant M, Herbst F, Jakesz R, Wenzl E. Gastrointestinal autonomic nerve tumors: A surgical point of view. World J Gastroenterol 2004; 10(16): 2447-2451 [PMID: 15285041 DOI: 10.3748/wjg.v10.i16.2447]
Corresponding Author of This Article
Dr. Anton Stift, Department of General Surgery, Medical University of Vienna, Waehringerguertel 18-20, A-1090 Vienna, Austria. a.stift@akh-wien.ac.at
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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World J Gastroenterol. Aug 15, 2004; 10(16): 2447-2451 Published online Aug 15, 2004. doi: 10.3748/wjg.v10.i16.2447
Table 1 Clinical symptoms of 78 reported GAN tumors
Clinical symptoms
No. of patients
Percent of patients
Abdominal pain
32
41
Meaena
19
24
Abdominal mass
10
13
Weight loss
10
13
Vomiting
9
12
Fatigue
7
9
Fever
5
6
Anemia
4
5
Obstructive jaundice
2
2
No clinical symptoms
5
6
Table 2 Anatomic sites of the primary tumors (n = 120)
Location
No. of patients
Percent of patients
Stomach
45
37.5
Jejunum
26
22.0
Ileum
21
17.5
Duodenum
12
10.0
Retroperitoneum
4
3.3
Mesentery
3
2.5
Esophagus
2
1.6
Peritoneum
2
1.6
Rectum
2
1.6
Colon
1
0.8
Bladder
1
0.8
Omentum
1
0.8
Table 3 Summary of immunohistochemical findings of 120 cases
Antigens
No. of cases studied
No. Positive cases
Percent of positivity
Vimentin
103
95
92
Neuron-specific
117
105
90
Enolase
Chromogranin A
92
10
11
Synaptophysin
105
33
31
S-100 protein
117
44
38
Neurofilaments
87
14
16
Vasoactive intestinal peptide
25
5
20
Table 4 Metastases of reported GANT cases (n = 67)
Metastases at clincal presentation
Metastases in clinical follow up
No. of patients
%
No. of patients
%
Location
8
12
Location
18
27
Liver
7
10
Liver
6
9
Retroperitoneal 4
6
Lymph node
2
3
Local recurrence
5
7
Omentum
3
4
Omentum
2
3
Mesentery
2
3
Peritoneum
2
3
Citation: Stift A, Friedl J, Gnant M, Herbst F, Jakesz R, Wenzl E. Gastrointestinal autonomic nerve tumors: A surgical point of view. World J Gastroenterol 2004; 10(16): 2447-2451