Publication: A giant jejunal gastrointestinal stromal tumor misconceived as pancreatic cystic neoplasm: A case report
0
0
Issued Date
2019
Resource Type
File Type
application/pdf
ISSN
22102612
Other identifier(s)
2-s2.0-85067853943
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
International Journal of Surgery Case Reports. Vol 60, (2019), p.253-256
Suggested Citation
Wongta K., Tangsirapat V., Chakrapan Na Ayudhya V., Charutragulchai P., Sripreechapattana S., Chakrapan Na Ayudhya K., Poolsavatkitikool R., Sookpotarom P., Vejchapipat P. A giant jejunal gastrointestinal stromal tumor misconceived as pancreatic cystic neoplasm: A case report. International Journal of Surgery Case Reports. Vol 60, (2019), p.253-256. doi:10.1016/j.ijscr.2019.06.023 Retrieved from: https://hdl.handle.net/20.500.14740/5658
Abstract
Introduction: Gastrointestinal stromal tumors (GISTs), although not common in gastrointestinal (GI) tumors, constitute the most frequent mesenchymal tumors of the GI tract. This report describes a patient with a large sporadic GIST at proximal jejunum that mimicked the pancreatic cystic neoplasm. Case presentation: We report a 59-year-old female patient with unexplained weight loss and palpable left upper quadrant abdominal mass for 6 months. Computed tomography (CT) scan demonstrated a heterogeneously mass measuring 10 cm in a maximal diameter at pancreatic body and tail. Laparotomy was done, and the tumor was found at proximal jejunum closed to the ligament of Treitz, so en bloc resection of the tumor was done. The pathological and immunohistochemical study confirmed GISTs. Discussion: Although most GISTs are originated from the intestine, they frequently arise from the stomach, the duodenum and rarely from the jejunum. And jejunal GISTs are usually asymptomatic. The misdiagnosis as mucinous cystadenoma of this case might be due to the proximity of the tumor to the body and tail of pancreas, and compressing the adjacent organ due to its large size. Conclusion: GISTs are most frequently small and arising from the stomach. GISTs are rarely present as a large tumor of the jejunum, and particularly mimicked a pancreatic tumor. © 2019 The Author(s)
Subject(s)
Anoctamin 1
Hemoglobin
Stem cell factor receptor
Abdominal mass
Abdominal pain
Adult
Article
Body weight loss
Case report
Clinical article
Computer assisted tomography
Cystadenoma
Cystic neoplasm
Diagnostic error
Disease duration
Distal pancreatectomy
Duodenum
Female
Gastrointestinal stromal tumor
Human
Immunohistochemistry
Jejunum
Laparotomy
Lymph node dissection
Middle aged
Pancreas tumor
Priority journal
Splenectomy
Tumor volume
Hemoglobin
Stem cell factor receptor
Abdominal mass
Abdominal pain
Adult
Article
Body weight loss
Case report
Clinical article
Computer assisted tomography
Cystadenoma
Cystic neoplasm
Diagnostic error
Disease duration
Distal pancreatectomy
Duodenum
Female
Gastrointestinal stromal tumor
Human
Immunohistochemistry
Jejunum
Laparotomy
Lymph node dissection
Middle aged
Pancreas tumor
Priority journal
Splenectomy
Tumor volume