alexa Abstract | En Bloc Resection of the Pancreatic Head and Second Part of Duodenum for a Duodenal Gastrointestinal Stromal Tumor: A Multi-Media Report

JOP. Journal of the Pancreas
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Abstract

Duodenal gastrointestinal stromal tumors are rare tumors. When these tumors arise from the second part of the duodenum they can easily be misdiagnosed as a pancreatic head cancer. A case of a 37-year-old female presenting with a one-year history of right upper quadrant pain is described here, who was subsequently found to have a mass in the head of the pancreas. Computed tomography scans showed a 2 cm hypervascular lesion lying between the head of pancreas and the second part of the duodenum, suggestive of a neuroendocrine tumor, and confirmed by endoscopic ultrasound scan. She underwent a pancreatic head resection with duodenal segmentectomy. Histopathological and immunohistochemical analysis revealed the tumor to be peri-ampullary duodenal gastrointestinal stromal tumor not invading the pancreas. Duodenal gastrointestinal stromal tumor can have a wide spectrum of clinical presentation. The accurate diagnosis of duodenal gastrointestinal stromal tumor is essential for determining the appropriate surgical intervention. In our case, a conservative surgical approach was utilised therefore avoiding a formal pancreaticoduodenectomy.

| Peer-reviewed Full Article image

Author(s): Adam E Frampton Jan J Bong Charis Kyriakides Patrizia Cohen Long R Jiao

Keywords

Duodenum, Gastrointestinal Stromal Tumors, Pancreaticoduodenectomy

 
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