Coincidence of GIST and pancreatic endocrine neoplasm in neurofibromatosis

Autor: Jose Luis Ulla-Rocha, Isabel Lorenzo-Lorenzo, José Luis Portela-Serra, Catherine Tome-Espiñeiro, Ángel Lede-Fernandez, Elias Dominguez-Comesaña
Rok vydání: 2011
Předmět:
Zdroj: Asia-Pacific Journal of Clinical Oncology. 7:193-196
ISSN: 1743-7555
DOI: 10.1111/j.1743-7563.2011.01419.x
Popis: Carcinoids of the ampulla of Vater are infrequent tumors of which a quarter of cases have been detected in patients with type I neurofibromatosis. This hereditary disease is also associated with gastrointestinal stromal tumors (GIST). However, the coincidence of these three entities together have only been formerly detected in five cases. A 53 year-old female patient, diagnosed with type I neurofibromatosis, with a malignant carcinoid of ampulla of Vater and multiple gastrointestinal stromal tumors in the duodenum and jejunum, was treated with total pancreatectomy and the excision of her intestinal tumors. Five-years on, a follow-up showed the patient to be well, and free from tumor recurrence. The coexistence of an ampullary carcinoid tumor, GIST and neurofibramatosis is very rare. Radical curative surgical resection is a good treatment option, but the optimal management of this is not yet well established.
Databáze: OpenAIRE