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A gastrointestinal stromal tumor of the duodenum masquerading as a pancreatic head tumor
Authors:Kwon Sung Ho  Cha Hee-Jeong  Jung Seok-Won  Kim Byung-Chul  Park Jae-Serk  Jeong In-Du  Lee Jong-Hwa  Nah Yang-Won  Bang Sung-Jo  Shin Jung-Woo  Park Neung-Hwa  Kim Do-Ha
Institution:1. Division of Gastroenterology,Department of Internal Medicine,University of Ulsan College of Medicine,Ulsan University Hospital,Ulsan,Korea
2. Department of Pathology,University of Ulsan College of Medicine,Ulsan University Hospital,Ulsan,Korea
3. Department of Radiology,University of Ulsan College of Medicine,Ulsan University Hospital,Ulsan,Korea
4. Department of Surgery,University of Ulsan College of Medicine,Ulsan University Hospital,Ulsan,Korea
Abstract:Gastrointestinal stromal tumor (GIST) represents the most common kind of mesenchymal tumor that arises from the alimentary tract. GIST is currently defined as a gastrointestinal tract mesenchymal tumor showing CD117 (c-kit protein) positivity at immunohistochemistry. Throughout the whole length of the gastrointestinal tract, GIST arises most commonly from the stomach followed by the small intestine, the colorectum, and the esophagus. Only 3%-5% of GISTs occur in the duodenum, and especially, if GIST arises from the C loop of the duodenum, it can be difficult to differentiate from the pancreas head mass because of its anatomical proximity. Here, we report a case of duodenal GIST, which was assessed as a pancreatic head tumor preoperatively.
Keywords:Gastrointestinal stromal tumor  Duodenum  Pancreas head tumor
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