Surgical Management of Duodenal Gastrointestinal Stromal Tumors: A Case Report.
Gastrointestinal stromal tumors (GISTs) represent the most common mesenchymal tumor entity of the gastrointestinal tract. In fewer than 5% of cases, primary GISTs are located in the duodenum. Surgery represents the treatment of choice for localized tumor disease and remains challenging in GISTs located at the duodenum. The optimal surgical approach is currently discussed controversially in the literature due to the fact that extended resections in terms of pancreaticoduodenectomy may cause significant postoperative morbidity and mortality compared to limited resection. We report on a rare case of GIST located in the upper part of the duodenum treated by limited surgical resection. Avoidance of postoperative complications may lead to optimal oncological outcome in selected patients.
Department of Surgery, Division of General Surgery, Medical University of Graz, Graz, Austria karl.mrak@klinikum-graz.at.
Karl
K
Mrak
Institute of Pathology, Medical University of Graz, Graz, Austria.
Bernadette
B
Liegl-Atzwanger
Institute of Pathology, Medical University of Graz, Graz, Austria.
Johannes
J
Haybaeck
Department of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.
Wolfgang
W
Petritsch
Department of Surgery, Division of General Surgery, Medical University of Graz, Graz, Austria.
Hans-Jörg
HJ
Mischinger
Department of Surgery, Division of General Surgery, Medical University of Graz, Graz, Austria.
Peter
P
Kornprat
D000368:Aged; D000714:Anastomosis, Surgical; D019468:Disease Management; D004379:Duodenal Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D046152:Gastrointestinal Stromal Tumors / Q000473:pathology / Q000601:surgery*; D006801:Humans; D016577:Pancreaticoduodenectomy; D011183:Postoperative Complications; D011379:Prognosis
Gastrointestinal stromal tumor; duodenum; surgical treatment