A rare clinical case of extra-gastrointestinal stromal pancreatic tumor

Autor: Alexey Shabunin, Zurab Bagatelia, Mikhail Tavobilov, David Dolidze, Igor Andreytsev, Tatiana Sheviakova, Nataliya Ivanova, Anna Foshina, Zarui Chibukhchyan, Serghei Covantsev
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Folia Medica, Vol 66, Iss 2, Pp 291-297 (2024)
Druh dokumentu: article
ISSN: 1314-2143
DOI: 10.3897/folmed.66.e113215
Popis: Extra-gastrointestinal stromal tumors arising from the pancreas are extremely rare. To date, just over 30 cases have been described in the world literature. A clinical observation of a 67-year-old patient with dull epigastric pain and a large cystic solid neoplasm instrumentally identified as an extra-gastrointestinal stromal tumor of the head of the pancreas is presented. The volume of surgical intervention consisted of pancreatogastroduodenectomy and right-sided hemicolectomy, since tumor invasion into the transverse mesocolon was detected intraoperatively. The final diagnosis of extra-gastrointestinal stromal sarcoma of the head of the pancreas with invasion into the mesocolon pT4N0M0, stage IIIb was made on the basis of histopathology and immunohistochemistry results. Extra-gastrointestinal stromal pancreatic tumors require careful differential diagnosis with other large abdominal masses. Timely diagnosis and use of modern treatment algorithms make it possible to avoid further disease progression.
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