Malignant gastrointestinal stromal tumor of the ampulla of Vater presenting with obstructive jaundice.
J Postgrad Med
;
2006 Jul-Sep; 52(3): 204-6
Artigo
em Inglês
| IMSEAR
| ID: sea-116131
ABSTRACT
Malignant gastrointestinal stromal tumor (GIST) consists a rare neoplasm, developing in small intestine and stomach. The presenting manifastations include weakness, weight loss, nausea, melena and anaemia. The present case refers to a 65 years old female patient with a GIST of the ampulla of Vater presenting with obstructive jaundice. Diagnosis was achieved pre-operatively by biopsies collected through diagnostic ERCP. The tumour was locally excised, with preservation of the ampulla. The histological analysis suggested low grade GIST positive for both CD 117 (c-kit) and CD34. Two years after the surgery the patient remains free of disease. Malignant GIST of the ampulla of the Vater is extremely rare as only few similar cases have been described in the literature. This is the first time a GIST being presented as obstructive jaundice ever reported. Despite the unavailability of EUS-FNA, the diagnosis was set preoperatively and the tumor was resected.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Ampola Hepatopancreática
/
Idoso
/
Feminino
/
Humanos
/
Biomarcadores Tumorais
/
Colangiopancreatografia Retrógrada Endoscópica
/
Intervalo Livre de Doença
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Proteínas Proto-Oncogênicas c-kit
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Antígenos CD34
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Icterícia Obstrutiva
Idioma:
Inglês
Revista:
J Postgrad Med
Ano de publicação:
2006
Tipo de documento:
Artigo
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