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Case Reports
. 2012 Oct 19:2012:bcr2012007040.
doi: 10.1136/bcr-2012-007040.

Pancreatic extra-gastrointestinal stromal tumour masquerading as a bleeding duodenal mass

Jacqueline Wegge  1 , David M Bartholomew, Leandra H Burke, Lisa A Miller
Affiliations
Case Reports

Pancreatic extra-gastrointestinal stromal tumour masquerading as a bleeding duodenal mass

Jacqueline Wegge et al. BMJ Case Rep. .

Abstract

We describe a 55-year-old man presenting to our institution with a gastrointestinal bleed. He was found to have a 5 cm pancreatic extra-gastrointestinal stromal tumours (EGISTs) eroding into the duodenum and ampulla of Vater. Pancreaticoduodenectomy was performed and the tumour was noted to be positive for CD117 and CD34 with six mitotic figures per 50/high-powered field. At 5 months postoperatively he is receiving treatment with imatinib and doing well. To the best of our knowledge, our patient is only the 18th case reported in the literature to date.

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Figures

Figure 1
Figure 1
Necrotic duodenal mass visualised by ECG.
Figure 2
Figure 2
A CT scan of the abdomen and pelvis showing cystic pancreatic mass.
Figure 3
Figure 3
Coronal view of cystic pancreatic mass.
Figure 4
Figure 4
H&E stain of tumour composed of multiple spindle cells.
Figure 5
Figure 5
The tumour showed positive staining for CD117 (c-kit).
See this image and copyright information in PMC

References

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