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侵犯十二指肠的胰腺外胃肠道间质瘤。

Pancreatic extragastrointestinal stromal tumor invading the duodenum.

作者信息

Yol Sinan, Polat Erdal, Duman Mustafa, Uzun Orhan, Yaşar Necdet Fatih, Peker Kıvanç Derya, Akyüz Cebrail, Kayahan Sibel

机构信息

Department of Gastrointestinal Surgery, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul, Turkey.

Department of Pathology, Kartal Training and Research Hospital, İstanbul, Turkey.

出版信息

Turk J Surg. 2018 Jan 3;34(3):231-233. doi: 10.5152/turkjsurg.2017.2715. eCollection 2018.

Abstract

Extragastrointestinal stromal tumors that arise in the pancreas are extremely rare and managing them can be difficult, particularly if located in the head of pancreas. This case report aims to contribute to the existing data in the literature regarding extragastrointestinal stromal tumors with rare and unusual locations. We present a 56-year-old man who presented with recurrent mild right upper quadrant abdominal pain. Abdominal computed tomography and magnetic resonance imaging revealed a mass lesion with a diameter of 10 cm localized in the head of pancreas. Pancreaticoduodenectomy with complete tumor excision was performed. He was discharged on the postoperative day 14. Only 15 extragastrointestinal stromal tumors cases have been reported. Of these 15 cases, tumors were located in the head of pancreas in six cases. Here we report the seventh case of pancreatic extragastrointestinal stromal tumor arising in the head of pancreas and also the largest of these seven tumors.

摘要

起源于胰腺的胃肠道外间质瘤极为罕见,对其进行治疗可能具有挑战性,尤其是当肿瘤位于胰头时。本病例报告旨在为文献中关于具有罕见和不寻常位置的胃肠道外间质瘤的现有数据做出贡献。我们报告了一名56岁男性,他反复出现右上腹轻度腹痛。腹部计算机断层扫描和磁共振成像显示,一个直径10厘米的肿块位于胰头。进行了胰十二指肠切除术并完整切除肿瘤。患者术后第14天出院。此前仅报告了15例胃肠道外间质瘤病例。在这15例病例中,有6例肿瘤位于胰头。在此,我们报告第7例起源于胰头的胰腺胃肠道外间质瘤,也是这7例肿瘤中最大的一例。

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