A gastrointestinal stromal tumor of the third portion of the duodenum treated by wedge resection: A case report
A 65-year old woman was admitted to our hospital with abdominal pain. Computed tomography showed a tumor measuring about 3 cm in diameter with no metastatic lesion or signs of local infiltration. Gastroduodenal endoscopy revealed the presence of a submucosal tumor in the third portion of the duodenu...
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Published in | World journal of gastrointestinal surgery Vol. 5; no. 12; pp. 332 - 336 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
United States
Baishideng Publishing Group Co., Limited
27.12.2013
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Subjects | |
Online Access | Get full text |
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Summary: | A 65-year old woman was admitted to our hospital with abdominal pain. Computed tomography showed a tumor measuring about 3 cm in diameter with no metastatic lesion or signs of local infiltration. Gastroduodenal endoscopy revealed the presence of a submucosal tumor in the third portion of the duodenum and biopsy revealed tumor cells stained positive for c-kit. These findings were consistent with gastrointestinal stromal tumors(GISTs) and we performed a wedge resection of the duodenum, sparing the pancreas. The postoperative course was uneventful and she was discharged on day 6. Surgical margins were negative. Histology revealed a GIST with a diameter of 3.2 cm and < 5 mitoses/50 high power fields, indicating a low risk of malignancy. Therefore, adjuvant therapy with imatinib was not initiated. Wedge resection with primary closure is a surgical procedure that can be used to treat low malignant potential neoplasms of the duodenum and avoid extensive surgery, with significant morbidity and possible mortality, such as pancreatoduodenectomy. |
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Bibliography: | Fahrettin Acar;Mustafa Sahin;Serdar Ugras;Akin Calisir;Department of General Surgery, Faculty of Medicine, Selcuk University Konya;Department of Pathology, Faculty of Medicine, Selcuk University Konya Author contributions: All authors contributed equally to this case report. Correspondence to: Fahrettin Acar, MD, Assistant Professor, Department of General Surgery, Faculty of Medicine, Selcuk University Konya, Campus of Alaaddin Keykubat, Selcuklu, Konya 42075, Turkey. drfacar@hotmail.com Telephone: +90-332-2415000 Fax: +90-332-2415000 |
ISSN: | 1948-9366 1948-9366 |
DOI: | 10.4240/wjgs.v5.i12.332 |