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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Bibliographic Details
Published in:World journal of gastrointestinal surgery 2013-12, Vol.5 (12), p.332-336
Main Authors: Acar, Fahrettin, Sahin, Mustafa, Ugras, Serdar, Calisir, Akın
Format: Article
Language:English
Subjects:
Case Report
Duodenum
Gastrointestinal
resection
stromal
Surgery
tumor
Wedge
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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.
ISSN:1948-9366
1948-9366
DOI:10.4240/wjgs.v5.i12.332