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Case Reports
. 2013 Mar 1;29(1):42-4.
doi: 10.5152/UCD.2013.11. eCollection 2013.

An atypically localized gastrointestinal stromal tumor: a case report of pancreas gastrointestinal stromal tumor

Affiliations
Case Reports

An atypically localized gastrointestinal stromal tumor: a case report of pancreas gastrointestinal stromal tumor

Kürşat Rahmi Serin et al. Ulus Cerrahi Derg. .

Abstract

Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. They can arise from any part of the tract as well as the omentum, mesentery or retroperitoneum. In this study, we present a case of a GIST originating from an extraordinary site, the pancreas. Evaluation of 30-year-old man with complaints of abdominal distension revealed a cystic, distal pancreatic lesion 13 cm in diameter. There were no intra-abdominal or distant organ metastases. The patient was operated with a diagnosis of cystic pancreas tumor, distal pancreatectomy and splenectomy was performed. The lesion was diagnosed as gastrointestinal stromal tumor upon histopathological examination. He was discharged on the sixth postoperative day without any complications and is being followed up for 21 months without systemic or local recurrence. Extragastrointestinal GISTs are reported rarely. To our knowledge, only one pancreatic GIST has been reported previously in the English literature.

Keywords: Gastrointestinal stromal tumour; extragastrointestinal; pancreas.

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Figures

Figure 1.
Figure 1.
CT image showing a cystic mass that is 13cm in size, originating from the distal pancreas, located behind the stomach without any evidence of gastric invasion and containing areas of necrosis and septa
Figure 2.
Figure 2.
Cells within the neoplastic area containing necrosis and hemorrhage foci and C-kit positivity

References

    1. Miettinen M, Sobin LH, Sarlomo-Rikala M. Immunhistochemical spectrum of GISTs at different sites and their differential diagnosis with a special reference to CD 117 (KIT) Mod Pathol. 2000;13:1134–42. http://dx.doi.org/10.1038/modpathol.3880210. - DOI - PubMed
    1. Miettinen M, Lasota J. Gastrointestinal stromal tumors-definition, clinical, histological, immunohistochemical and molecular genetic features and differential diagnosis. Virchows Arch. 2001;438:1–12. http://dx.doi.org/10.1007/s004280000338. - DOI - PubMed
    1. Walsh NM, Bodurtha A. Auerbach’s myenteric plexus. A possible site of origin for gastrointestinal stromal tumors in von Recklinghausen’s neurofibromatosis. Arch Pathol Lab Med. 1990;114:522–5. - PubMed
    1. Rumessen JJ, Thuneberg L. Interstitial cells of Cajal in human small intestine. Ultrastructural identification and organization between the main smooth muscle layers. Gastroenterolog. 1991;100:1417–31. - PubMed
    1. Hirota S, Ohashi A, Nishida T, Isozaki K, Kinoshita K, Shinomura Y, et al. Gain-of-function mutations of platelet-derived growth factor receptor alpha gene in gastrointestinal stromal tumors. Gastroenterology. 2003;125:660–7. http://dx.doi.org/10.1016/S0016-5085(03)01046-1. - DOI - PubMed

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