A Pancreatic Head Tumor Arising as a Duodenal GIST: A Case Report and Review of the Literature
Gastrointestinal stromal tumors (GISTs) are rare mesenchymal tumors of the gastrointestinal tract that originate from the intestinal cells of Cajal (ICC) (Fletcher et al., 2002). Only a few cases have been described with extragastrointestinal stromal tumors (Kim et al., 2012; Soufi et al., 2013; Men...
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| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/420295 |
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| author | Fabian Bormann Wolfgang Wild Hüseyin Aksoy Pius Dörr Sanja Schmeck Matthias Schwarzbach |
| author_facet | Fabian Bormann Wolfgang Wild Hüseyin Aksoy Pius Dörr Sanja Schmeck Matthias Schwarzbach |
| author_sort | Fabian Bormann |
| collection | DOAJ |
| description | Gastrointestinal stromal tumors (GISTs) are rare mesenchymal tumors of the gastrointestinal tract that originate from the intestinal cells of Cajal (ICC) (Fletcher et al., 2002). Only a few cases have been described with extragastrointestinal stromal tumors (Kim et al., 2012; Soufi et al., 2013; Meng et al., 2011). They are often diagnosed as a pancreatic head tumor as they are very difficult to relate to the duodenum with CT, MRI, or ultrasound. We present a case of a sixty-four-year-old woman who presented with abdominal pain and cardialgia for a follow-up examination after breast cancer surgery. On laparotomy there was a 3 × 5 cm hypervascular mass arising from the pancreatic head with macroscopically no attachment to the duodenum. The patient underwent pancreatoduodenectomy (PD) modified after Traverso-Longmire, histopathology proved a duodenal GIST. This case proves that duodenal GISTs can grow invasively into the pancreas and appear as solid pancreas head tumor; therefore, these tumors should be included into differential diagnosis. |
| format | Article |
| id | doaj-art-2a1e3694ce934fd5adf10c87f22aea85 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-2a1e3694ce934fd5adf10c87f22aea852025-02-03T01:00:04ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/420295420295A Pancreatic Head Tumor Arising as a Duodenal GIST: A Case Report and Review of the LiteratureFabian Bormann0Wolfgang Wild1Hüseyin Aksoy2Pius Dörr3Sanja Schmeck4Matthias Schwarzbach5Klinik für Allgemein-, Viszeral-, Thorax- und Gefäßchirurgie, Klinikum Frankfurt Höchst, Gotenstraße 6-8, 65929 Frankfurt am Main, GermanyKlinik für Allgemein-, Viszeral-, Thorax- und Gefäßchirurgie, Klinikum Frankfurt Höchst, Gotenstraße 6-8, 65929 Frankfurt am Main, GermanyKlinik für Allgemein-, Viszeral-, Thorax- und Gefäßchirurgie, Klinikum Frankfurt Höchst, Gotenstraße 6-8, 65929 Frankfurt am Main, GermanyKlinik für Radiologie, Neuroradiologie und Nuklearmedizin, Klinikum Frankfurt Höchst, Gotenstraße 6-8, 65929 Frankfurt am Main, GermanyInstitut für Pathologie, Klinikum Frankfurt Höchst, Gotenstraße 6-8, 65929 Frankfurt am Main, GermanyKlinik für Allgemein-, Viszeral-, Thorax- und Gefäßchirurgie, Klinikum Frankfurt Höchst, Gotenstraße 6-8, 65929 Frankfurt am Main, GermanyGastrointestinal stromal tumors (GISTs) are rare mesenchymal tumors of the gastrointestinal tract that originate from the intestinal cells of Cajal (ICC) (Fletcher et al., 2002). Only a few cases have been described with extragastrointestinal stromal tumors (Kim et al., 2012; Soufi et al., 2013; Meng et al., 2011). They are often diagnosed as a pancreatic head tumor as they are very difficult to relate to the duodenum with CT, MRI, or ultrasound. We present a case of a sixty-four-year-old woman who presented with abdominal pain and cardialgia for a follow-up examination after breast cancer surgery. On laparotomy there was a 3 × 5 cm hypervascular mass arising from the pancreatic head with macroscopically no attachment to the duodenum. The patient underwent pancreatoduodenectomy (PD) modified after Traverso-Longmire, histopathology proved a duodenal GIST. This case proves that duodenal GISTs can grow invasively into the pancreas and appear as solid pancreas head tumor; therefore, these tumors should be included into differential diagnosis.http://dx.doi.org/10.1155/2014/420295 |
| spellingShingle | Fabian Bormann Wolfgang Wild Hüseyin Aksoy Pius Dörr Sanja Schmeck Matthias Schwarzbach A Pancreatic Head Tumor Arising as a Duodenal GIST: A Case Report and Review of the Literature Case Reports in Medicine |
| title | A Pancreatic Head Tumor Arising as a Duodenal GIST: A Case Report and Review of the Literature |
| title_full | A Pancreatic Head Tumor Arising as a Duodenal GIST: A Case Report and Review of the Literature |
| title_fullStr | A Pancreatic Head Tumor Arising as a Duodenal GIST: A Case Report and Review of the Literature |
| title_full_unstemmed | A Pancreatic Head Tumor Arising as a Duodenal GIST: A Case Report and Review of the Literature |
| title_short | A Pancreatic Head Tumor Arising as a Duodenal GIST: A Case Report and Review of the Literature |
| title_sort | pancreatic head tumor arising as a duodenal gist a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2014/420295 |
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