A large gastrointestinal stromal tumor of the duodenum treated by partial duodenectomy with Roux-en-Y duodenojejunostomy: a case report

Journal of Medical Case Reports

Abdelmalek Oussaden²  Khalid Ait Taleb²  Afaf Amarti¹  Khalid Maazaz²  Leila Chbani¹  Ouadii Mouaqit² 

[1] Department of Pathology, University Hospital Hassan II, Fez, Morocco;Surgery Department, University Hospital Hassan II, Fez, Morocco

关键词: Surgery;    Gastrointestinal stromal tumors;    Duodenum;    Duodenojejunostomy;   

Others  :  1181135
DOI  :  10.1186/1752-1947-7-184

 received in 2013-02-10, accepted in 2013-05-31,  发布年份 2013

【 摘 要 】

Introduction

Duodenal gastrointestinal stromal tumors are uncommon and a relatively small subset of gastrointestinal stromal tumors whose optimal surgical procedure has not been well defined. Because submucosal spread and local lymph node involvement are infrequent in gastrointestinal stromal tumors, wide margins with routine lymph node dissection may not be required. Various surgical procedures for duodenal gastrointestinal stromal tumor, pancreatoduodenectomy, pancreas-sparing duodenectomy, segmental duodenectomy, or local resection, have been described depending on the size and exact site of the lesion.

Case presentation

We present the case of a 65-year-old African woman with a giant gastrointestinal stromal tumor involving the second and third portion of the duodenum successfully treated by partial duodenectomy with duodenojejunostomy. This surgical technique is ideal when a gastrointestinal stromal tumor does not involve the ampulla because it avoids a pancreatoduodenectomy, and has not been previously described for the management of this malignancy. Duodenal gastrointestinal stromal tumor should be suspected in any patient with a duodenal wall mass.

Conclusions

Gastrointestinal stromal tumors of the duodenum should be suspected in any patient with a duodenal wall mass. Extramural growth and central ulceration with or without bleeding should alert the endoscopist to the possibility of a duodenal gastrointestinal stromal tumor diagnosis.

【 授权许可】

   
2013 Mouaqit et al.; licensee BioMed Central Ltd.

【 图 表 】

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