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01.02.2013 | Case Report

A duodenal stromal tumor mimicking a pancreatic head tumor: one case report and literature review

verfasst von: O. Mouaqit, MD, R. Ktaibi, A. Ktaibi, M. Mounim, El H. O. El malki, R. Mohsine, L. Ifrine, N. Mahassini, A. Belkouchi

Erschienen in: European Surgery | Ausgabe 1/2013

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Summary

Backround

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.

Methods

Case report and review of the literature.

Results

We report on a case of a 37-year-old female presenting with a one-year history of right upper quadrant pain associated with palpable abdominal tumor. Computed tomography scans showed a lesion in the head of the pancreas. No endoscopic fine-needle aspiration (FNA) cytology was carried. No specific mucosal abnormalities were reported in the duodenum. Following a roof top incision, a laparotomy was performed with an examination of the pancreas. This revealed a hard mass in the head of the pancreas and dissection in preparation for a pancreaticoduodenectomy was done. Histopathological and immunohistochemical analysis revealed the duodenal gastrointestinal stromal tumor with high-grade malignancy.

Conclusions

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 radical surgical approach was used to avoid passing near an adenocarcinoma.

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Goh BK, Chow PK, Ong HS, Wong WK. Gastrointestinal stromal tumor involving the second and third portion of the duodenum: Treatment by partial duodenectomy and roux-en-Y duodenojejunostomy. J Surg Oncol. 2005;91:273–5.PubMedCrossRef

Gervaz P, Huber O, Morel P. Surgical management of gastrointestinal stromal tumors. Br J Surg. 2009;96:567–78.PubMedCrossRef

Frampton E, Bong JJ, Kyriakides C, Cohen P, Jiao LR. En bloc resection of the pancreatic head and second part of duodenum for a duodenal gastrointestinal stromal tumor: a multi-media report. JOP J Pancreas. 2010;11(4):396–400.

Miettinen M, Kopczynski J, Makhlouf HR, Sarlomo-Rikala M, Gyorffy H, Burke A, Sobin LH, Lasota J. Gastrointestinal stromal tumors, intramural leiomyomas, and leiomyosarcomas in the duodenum: a clinicopathologic, immunohistochemical, and molecular genetic study of 167 cases. Am J Surg Pathol. 2003;27:625–41.PubMedCrossRef

Mennigen R, Wolters HH, Schulte B, Pelster FW. Segmental resection of the duodenum for gastrointestinal stromal tumor (GIST). World J Surg Oncol. 2008;6:105.PubMedCrossRef

Kwon SH, Cha HJ, Jung SW, Kim BC, Park JS, Jeong ID, et al. A gastrointestinal stromal tumor of the duodenum masquerading as a pancreatic head tumor. World J Gastroenterol. 2007;13:3396–9.PubMedCrossRef

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;12:324–72.PubMedCrossRef

Sandrasegaran K, Rajesh A, Rushing DA, Rydberg J, Akisik FM, Henley JD. Gastrointestinal stromal tumors: CT and MRI findings. Eur Radiol. 2005;15:1407–14.PubMedCrossRef

Buchs NC, Bucher P, Gervaz P, Ostermann S, Pugin F, Morel P. Segmental duodenectomy for gastrointestinal stromale tumor of the duodenum. World J Gastroenterol. 2010;16(22):2788–92.PubMedCrossRef

10.

Hong X, Choi H, Loyer EM, Benjamin RS, Trent JC, Charnsangavej C. Gastrointestinal stromal tumor: role of CT in diagnosis and in response evaluation and surveillance after treatment with imatinib. Radiographics. 2006;26:481–95.PubMedCrossRef

11.

Lau S, Tam KF, Kam CK, Lui CY, Siu CW, Lam HS, Mak KL. Imaging of gastrointestinal stromal tumour (GIST). Clin Radiol. 2004;59:487–98.PubMedCrossRef

12.

Akahoshi K, Sumida Y, Matsui N, Oya M, Akinaga R, Kubokawa M, et al. Preoperative diagnosis of gastrointestinal stromal tumor by endoscopic ultrasound-guided fine needle aspiration. World J Gastroenterol. 2007;13:2077–82.PubMed

13.

Sepe PS, Moparty B, Pitman MB, Saltzman JR, Brugge WR. EUS-guided FNA for the diagnosis of GI stromal cell tumors: sensitivity and cytologic yield. Gastrointest Endosc. 2009;70:254–61.PubMedCrossRef

14.

Ohtake S, Kobayashi N, Kato S, Kubota K, Endo I, Inayama Y, Nakajima A. Duodenal gastrointestinal stromal tumor resembling a pancreatic neuroendocrine tumor in a patient with neurofibromatosis type I (von Recklinghausen’s disease): a case report. J Med Case Reports. 2010;4:302.CrossRef

15.

Spalding DR, Isla AM, Thompson JN, Williamson RC. Pancreas-sparing distal duodenectomy for infrapapillary neoplasms. Ann R Coll Surg Engl. 2007;89:130–5.PubMedCrossRef

16.

Bucher P, Egger JF, Gervaz P, Ris F, Weintraub D, Villiger P, Buhler LH, Morel P. An audit of surgical management of gastrointestinal stromal tumours (GIST). Eur J Surg Oncol. 2006;32:310–4.PubMedCrossRef

17.

Gold JS, Dematteo RP. Combined surgical and molecular therapy: the gastrointestinal stromal tumor model. Ann Surg. 2006;244:176–84.PubMedCrossRef

18.

DeMatteo RP, Lewis JJ, Leung D, Mudan SS, Woodruff JM, Brennan MF. Two hundred gastrointestinal stromal tumors: recurrence patterns and prognostic factors for survival. Ann Surg. 2000;231:51–8.PubMedCrossRef

19.

Goh BK, Chow PK, Kesavan S, Yap WM, Wong WK. Outcome after surgical treatment of suspected gastrointestinal stromal tumors involving the duodenum: is limited resection appropriate? J Surg Oncol. 2008;97:388–91.PubMedCrossRef

20.

Winfield RD, Hochwald SN, Vogel SB, Hemming AW, Liu C, Cance WG, Grobmyer SR. Presentation and management of gastrointestinal stromal tumors of the duodenum. Am Surg. 2006;72:719–22 (discussion 722–3).PubMed

21.

Uehara K, Hasegawa H, Ogiso S, Sakamoto E, Shibahara H, Igami T. Gastrointestinal stromal tumor of the duodenum: Diagnosis and treatment. Geka. 2001;63:1058–61.

22.

Chung JC, Chu CW, Cho GS, Shin EJ, Lim CW, Kim HC, Song OP. Management and outcome of gastrointestinal stromal tumors of the duodenum. J Gastrointest Surg. 2010;14:880–3.PubMedCrossRef

23.

Tien YW, Lee CY, Huang CC, Hu RH, Lee PH. Surgery for gastrointestinal stromal tumors of the duodenum. Ann Surg Oncol. 2010;17:109–14.PubMedCrossRef

Titel: A duodenal stromal tumor mimicking a pancreatic head tumor: one case report and literature review
verfasst von: O. Mouaqit, MD
R. Ktaibi
A. Ktaibi
M. Mounim
El H. O. El malki
R. Mohsine
L. Ifrine
N. Mahassini
A. Belkouchi
Publikationsdatum: 01.02.2013
Verlag: Springer Vienna
Erschienen in: European Surgery / Ausgabe 1/2013
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI: https://doi.org/10.1007/s10353-012-0176-6

Springer Medizin Österreich

Summary

Backround

Methods

Results

Conclusions

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