Giant gastrointestinal stromal tumor of the duodenum mimicking a pancreas head tumor: a case report
Year 2023,
Volume: 9 Issue: 4, 828 - 830, 04.07.2023
Erol Aksoy
,
Mehmet Akif Üstüner
,
Osman Aydın
,
Erdal Birol Bostancı
Abstract
Duodenal gastrointestinal stromal tumor (GIST) is rarely observed in the gastrointestinal system. It can be confused with pancreas pathologies as it shows an extramural growth pattern. The case is here presented of a 65-year-old male who presented with the complaints of abdominal pain, nausea and vomiting. On contrast abdominal tomography, a centrally hypodense, necrotic mass, 140×115×100 mm in size, was observed in the pancreas head. With a preliminary diagnosis of neuroendocrine tumour/serous cystic neoplasia, a Whipple + partial vena cava resection + primary repair operation was performed. The pathology was reported as duodenal GIST. The patient was discharged with medication and referred to the oncology clinic.
References
- 1. Singh S, Paul S, Khandelwal P, Khichy S. Duodenal GIST presenting as large pancreatic head mass: an uncommon presentation. JOP 2012;13:696-9.
- 2. Uchida H, Sasaki A, Iwaki K, Tominaga M, Yada K, Iwashita Y, et al. An extramural gastrointestinal stromal tumor of the duodenum mimicking a pancreatic head tumor. J Hepatobiliary Pancreat Surg 2005;12:324-7.
- 3. Florin CM, Bogdan F, Cristian L, Maria TA, Mihai D, Viorel S. Surgical treatment of gastric GIST: feasibility of laparoscopic resection and postoperative outcome. JPSP 2020;30:519-22.
- 4. Aksoy E, Üstüner MA, Bostancı EB. [Surgical indications in diagnosis and follow-up of gastrointestinal tract; Gastrointestinal stromal tumor, neuroendocrine tumor, other subepithelial lesions]. In: Kacar S, editor., Subepithelial Lesions of the Gastrointestinal Canal. 1st ed., Ankara: Turkiye Klinikleri, 2020: pp. 78-81. [Article in Turkish]
- 5. Ghanem N, Altehoefer C, Furtwangler A, Winterer J, Schafer O, Springer O, et al. Computed tomography in gastrointestinal stromal tumors. Eur Radiol 2003;13:1669-78.
- 6. Grung M, Jinbai H. Duoednal gastrointestinal stromal tumor mimicking a pancreatic head tumor: a case report. Int J Sci Invent Today 2018;7:126-33.
- 7. Beltran MA. Current management of duodenal gastrointestinal stromal tumors. Indian J Surg 2020;82:1193-1205.
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Year 2023,
Volume: 9 Issue: 4, 828 - 830, 04.07.2023
Erol Aksoy
,
Mehmet Akif Üstüner
,
Osman Aydın
,
Erdal Birol Bostancı
References
- 1. Singh S, Paul S, Khandelwal P, Khichy S. Duodenal GIST presenting as large pancreatic head mass: an uncommon presentation. JOP 2012;13:696-9.
- 2. Uchida H, Sasaki A, Iwaki K, Tominaga M, Yada K, Iwashita Y, et al. An extramural gastrointestinal stromal tumor of the duodenum mimicking a pancreatic head tumor. J Hepatobiliary Pancreat Surg 2005;12:324-7.
- 3. Florin CM, Bogdan F, Cristian L, Maria TA, Mihai D, Viorel S. Surgical treatment of gastric GIST: feasibility of laparoscopic resection and postoperative outcome. JPSP 2020;30:519-22.
- 4. Aksoy E, Üstüner MA, Bostancı EB. [Surgical indications in diagnosis and follow-up of gastrointestinal tract; Gastrointestinal stromal tumor, neuroendocrine tumor, other subepithelial lesions]. In: Kacar S, editor., Subepithelial Lesions of the Gastrointestinal Canal. 1st ed., Ankara: Turkiye Klinikleri, 2020: pp. 78-81. [Article in Turkish]
- 5. Ghanem N, Altehoefer C, Furtwangler A, Winterer J, Schafer O, Springer O, et al. Computed tomography in gastrointestinal stromal tumors. Eur Radiol 2003;13:1669-78.
- 6. Grung M, Jinbai H. Duoednal gastrointestinal stromal tumor mimicking a pancreatic head tumor: a case report. Int J Sci Invent Today 2018;7:126-33.
- 7. Beltran MA. Current management of duodenal gastrointestinal stromal tumors. Indian J Surg 2020;82:1193-1205.
- 8. Pidhorecky I, Cheney RT, Kraybill WG, Gibbs JF. Gastrointestinal stromal tumors: current diagnosis, biologic behavior, and management. Ann Surg Oncol 2000;7:705-12.