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Korean Journal of Gastrointestinal Endoscopy ; : 42-45, 2009.
Article Dans Coréen | WPRIM | ID: wpr-154703

Résumé

Duodenal gastrointestinal stromal tumors (GISTs) are relatively rare tumors that commonly present with gastrointestinal bleeding. Evaluation with endoscopic ultrasonography (EUS) is a useful technique for the differential diagnosis of GISTs from other submucosal tumors. A 58-year-old man presented with melena and anemia. An esophago-gastroduodenoscopy showed the presence of a submucosal tumor in the second portion of the duodenum with central ulceration and a flat spot. EUS showed the presence of a suspicious malignant GIST that originated from the proper muscle layer, which was successfully resected. We report a case of a duodenal GIST with a bleeding ulcer. Positive reactivity for CD117 and S-100 was demonstrated by immunohistochemical staining.


Sujets)
Humains , Adulte d'âge moyen , Anémie , Diagnostic différentiel , Duodénum , Endosonographie , Tumeurs stromales gastro-intestinales , Hémorragie , Méléna , Muscles , Ulcère
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