Jones Jacob C, Quiles Penelope I, Quiles John G, Edelson Jerome G
Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, TX.
Washington and Lee University, Lexington, VA.
ACG Case Rep J. 2025 Jul 21;12(7):e01767. doi: 10.14309/crj.0000000000001767. eCollection 2025 Jul.
We present a case of a pseudosarcomatous stromal proliferation of the ampullary and duodenal mucosa and its treatment in an asymptomatic 61-year-old man with a history of prostate adenocarcinoma and carotid paraganglioma. There is a modicum of literature describing these cases and treatment involving the gastrointestinal tract. The intricacy of diagnosis can further complicate management which necessitates the need for discussion between the clinician and the pathologist to avoid unnecessary invasive intervention. Our example of a pseudosarcoma involving the ampullary and duodenal mucosa and its treatment is unprecedented, therefore, should serve as an example for similar cases.
我们报告一例壶腹和十二指肠黏膜假肉瘤样间质增生病例及其治疗过程，患者为一名61岁无症状男性，有前列腺腺癌和颈动脉副神经节瘤病史。关于这些病例及胃肠道相关治疗的文献较少。诊断的复杂性会使治疗进一步复杂化，这就需要临床医生和病理医生进行讨论，以避免不必要的侵入性干预。我们所举的这例涉及壶腹和十二指肠黏膜的假肉瘤病例及其治疗是前所未有的，因此应作为类似病例的范例。
