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ISSN 1684-1824 (Electronic)

2016, Number 3

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Rev Méd Electrón 2016; 38 (3)

Tumors of the duodenal gastrointestinal stroma

Ruesca DC, Robaina RG, Rodríguez DY, García DM, Tadeo ME

Language: Spanish
References: 12
Page: 410-416
PDF size: 307.39 Kb.


ABSTRACT

The tumors of the gastrointestinal stroma located in the duodenum are the most complex location for this neoplasia treatment; they are relatively infrequent, with a prevalence of 5-7% of all the stromal gastrointestinal tumors surgically treated. Most of the reports published on these tumors are case reports. The clinical manifestations, the radiological diagnosis, the surgical treatment and the predictive factors are controversial matters. The malignant stromal gastrointestinal tumors are, in general, of great size (› 5cm), with a high mitotic index, and could give metastasis to the liver and peritoneum. We report the case of a man aged 41 years with abdominal pain of sudden beginning. The echographic study showed complex lesion occupying the upper right hemi abdomen. The abdominal tomography showed an increased uptake, heterogeneous, solid mass, in intimate contact with the duodenum. A laparotomy was carried out with a 20-cm tumor in intimate contact with the first duodenal portion, excising it. The anatomopathological study revealed a low grade tumor with intestinal stroma characteristic cells. The surgical resection was completed.


REFERENCES

  1. Ramos Socarrás AE, Vallés Gamboa ME, Rodríguez Núñez JR, et al. Tumor del estroma gastrointestinal. Rev Gastroenterología Perú [Internet]. 2014 [citado 25 Nov 2015];34: Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1022- 51292014000300009&nrm=iso

  2. Bannura CG, Barrera EA, Melo LC, Illanes FF. Tumores primarios del yeyunoíleon: correlación clínico-patológica. Rev chil cir [Internet]. 2012 [Citado 23 Oct 2015];64(3): Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718- 40262012000300008

  3. Beltrán S, Marcelo A. Tumores del estroma gastrointestinal (GIST) del duodeno: presentación clínica, estudio diagnóstico y tratamiento actual. Rev Chilena de Cirugía [Internet]. 2014[citado 25 Nov 2015];66.: Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718- 40262014000400016&nrm=iso

  4. Chung JC, Chu CW, Cho GS,et al. Management and outcome of gastrointestinal stromal tumors of the duodenum. J Gastrointest Surg [Internet]. 2010[citado 12 Oct 2015];14(5): Disponible en: http://dx.doi.org/10.1007/s11605-010-1170-6

  5. Calzadilla I, Goddard M, González F, et al. Tumores mesenquimales diagnosticados en la unidad de gastroenterología del HMPC entre los años 2007 al 2009. GEN [ Internet]. 2010[citado 25 Oct 2015];64(3): Disponible en: http://www.scielo.org.ve/scielo.php?script=sci_arttext&pid=S0016- 35032010000300003

  6. González-González J, Zamora-Santana O. Tumor del estroma gastrointestinal de duodeno. Rev Cubana Cirugía [Internet]. 2015[citado 25 Oct 2015];53(4): Disponible en: http://www.revcirugia.sld.cu/index.php/cir/article/view/171

  7. Castillo O, Frisancho O, Contardo C, et al. Tumor estromal gastrointestinal en duodeno. Rev de Gastroenterología Perú [Internet]. 2010[citado 25 Nov 2015];30: Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1022- 51292010000300012&nrm=iso

  8. Beltrán S MA, Vicencio OA, Barra MM, et al. Resultados del Tratamiento Quirúrgico de los tumores del estroma gastrointestinal (GIST) en la IV Región de Chile. Rev Chilena de Cirugía [Internet]. 2011[citado 25 Nov 2015];63: Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718- 40262011000300009&nrm=iso

  9. Beltrán MA, Valenzuela C, Díaz R, et al. Tumores del estroma gastrointestinal del duodeno: revisión de la literatura científica actual con énfasis en el tratamiento. Rev Colombiana de Cirugía [Internet]. 2014[citado 21 Nov 2015];29: Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S2011- 75822014000200009&nrm=iso

  10. Xie YB, Liu H, Cui L, et al. Tumors of the angle of Treitz: a single-center experience. World J Gastroenterol [Internet]. 2014[citado 25 Nov 2015];20(13): Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3974531/?tool=pubmed

  11. Duffaud F, Meeus P, Bachet JB, et al. Conservative surgery vs. duodeneopancreatectomy in primary duodenal gastrointestinal stromal tumors (GIST): A retrospective review of 114 patients from the French Sarcoma Group (FSG). Europ J Surg Oncol [Internet]. 2014[citado 25 Nov 2015];40(10): Disponible en: http://www.sciencedirect.com/science/article/pii/S0748798314004302

  12. Kobayashi M, Hirata N, Nakaji S,et al. Gastrointestinal stromal tumor of the ampulla of Vater: a case report. World J Gastroenterol [Internet]. 2014[citado 18 Nov 2015];20(16): Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4000521/?tool=pubmed




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