Primary extragastrointestinal stromal tumor arising In the pancreas: report of a case
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Primary extra-gastrointestinal stromal tumor (EGISTs) arising in the pancreas is extremely rare: only 32 cases have previously been reported in the English literature. We report a further case of EGIST of the pancreas. A 49 -year-old woman presented with abdominal pain localized in the right hyphocondrium. Magnetic resonance imaging (MRI) showed well-demarcated, heterogeneous solid-cystic mass of pancreatic head measured 25mm without invasion of the surrounding tissues. Subtle but distinct flat plane was noted between the mass and pancreatic tissue. At laparotomy, a well-demarcated nodule was identified in the head of the pancreas; no attach with the duodenal wall was found. Careful enucleation of the tumor was successfully performed. Histopathology and immunohistochemical examination confirmed the final diagnosis of EGIST of the pancreas (CD117+), with one mitosis per 50 high-power fields. EGIST with low risk of malignancy has been placed. She did not receive any adjuvant therapy after surgery; 9 months later she is in good general condition and there is no evidence of recurrent disease. EGIST was introduced into the literature in the last decade. We are limited to the case reports that have been published to date. Nonetheless, additional research of more cases with longer follow-up is needed before drawing definitive conclusions.
Authors and Affiliations
Nesrine Tounsi1, Nadia boujelbene2, MolkaChemelali1 . . , Abdelwahed Nawel, ,Henchiri Houda, Ines Ben Safta, ,Jamel Ben hassouna, KaledRahel1 . .
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