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2015 | 87 | 5 | 268-271
Tytuł artykułu

Ectopic Pancreas Imitating Gastrointestinal Stromal Tumor (GIST) In The Stomach

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Ectopic pancreas is a rare congenital disorder defined as pancreatic tissue lacking vascular or anatomic communication with the normal body of the pancreas. Most cases of ectopic pancreas are asymptomatic, but it may become clinically evident depending on the size, location and the pathological changes similar to those observed in case of the normal pancreas. It is often an incidental finding and can be located at different sites in the gastrointestinal tract. The most common locations are: the stomach, duodenum or the proximal part of small intestine. The risk of malignancy, bleeding and occlusion are the most serious complications. Despite the development in diagnostics, it still remains a challenge for the clinician to differentiate it from neoplasm. In this report, we described a case of 28-years old woman who presented recurrent epigastric pain. The upper gastrointestinal endoscopy revealed gastrointestinal stromal tumor on the border of the body and antrum of the back wall of great curvature of the stomach. The histopathological examination after surgery showed heterotopic pancreatic tissue. Ectopic pancreas should be considered in the differential diagnosis of gastric mass lesions.
Wydawca
Rocznik
Tom
87
Numer
5
Strony
268-271
Opis fizyczny
Daty
wydano
2015-05-01
otrzymano
2014-07-26
online
2015-07-10
Twórcy
  • 2 Department of General and Gastrointestinal SurgeryKierownik: prof. dr hab. Medical University in Białystok
  • Department of General PathomorphologyKierownik: prof. dr hab.
  • Department of General PathomorphologyKierownik: prof. dr hab.
  • Department of General PathomorphologyKierownik: prof. dr hab.
  • 2 Department of General and Gastrointestinal SurgeryKierownik: prof. dr hab. Medical University in Białystok
Bibliografia
  • 1. Buczek T, Puzdrowski W, Lenekowski R, Kruszewski WJ : Ectopic pancreas imitating gastric neoplasm – a case report. Przegl Lek 2013; 70(9): 761-63.
  • 2. Popiolek D, Kahn E, Markowitz J, Daum F: Prevalence and pathogenesis of pancreatic acinar tissue at the gastroesophageal junction in children and young adults. Arch Pathol Lab Med 2000; 124: 1165-67.
  • 3. Ormarsson OT, Gudmundsdottir I, Marvik R: Diagnosis and treatment of gastric heterotopic pancreas. World J Surg 2006; 30: 1682-89.
  • 4. Trifan A, Târcoveanu E, Danciu M et al.: Gastric heterotopic pancreas: an unusual case and review of the literature. J Gastrointestin Liver Dis 2012; 21(2): 209-12.
  • 5. Sathyanarayana SA, Deutsch GB, Bajaj J et al.: Ectopic pancreas: a diagnostic dilemma. Int J Angiol 2012; 21(3): 177-80.
  • 6. Christodoulidis G, Zacharoulis D, Barbanis S et al.: Heterotopic pancreas in the stomach: a case report and literature review. World J Gastroenterol 2007; 13(45): 6098-6100.
  • 7. Karpińska MS, Nienartowicz M, Markowska- Woyciechowska A, Budrewicz-Czapska K: Heterotopic pancreas in the stomach (type II according to Heinrich) – literature review and case report. Pol Przegl Chir 2011; 83(3): 171-74.
  • 8. Zinkiewicz K, Juśkiewicz W, Zgodziński W et al.: Ectopic pancreas: endoscopic, ultrasound and radiological features. Folia Morphol 2003; 62(3): 205-09.
  • 9. Teke Z, Kabay B, Kelten C et al.: Ectopic Pancreas of the Gastric Antrum Contiguous to a Gastrointestinal Stromal Tumor Manifesting as Upper Gastrointestinal Bleeding: Report of a Case. Surg Today 2007; 37(1): 74-77.
  • 10. Chandan VS, Wang W: Pancreatic heterotopia in the gastric antrum. Arch Pathol Lab Med 2004; 128: 111-12.
  • 11. Zawada I, Lewosiuk A, Hnatyszyn K et al.: Ectopic pancreas mimicking advanced gastric malignancy – case report. Pol Merk Lek 2012; XXXII(190): 246-48.
  • 12. Emerson L, Layfield LJ, Rohr LR, Dayton MT: Adenocarcinoma arising in association with gastric heterotopic pancreas: a case report and review of the literature. J Surg Oncol 2004; 87: 53-57.
  • 13. Rodriguez FJ, Abraham SC, Allen MS, Sebo TJ : Fine-needle aspiration cytology findings from a case of pancreatic heterotopia at the gastroesophageal junction. Diagn Cytopathol 2004; 31: 175-79.
  • 14. Makarewicz W, Bobowicz M, Dubowik M et al.: Endoscopic submucosal dissection of gastric ectopic pancreas. Wideochir Inne Tech Mało Inwazyjne 2013; 8(3): 249-52.
  • 15. Arkuszewski P, Hołyński J, Mussur M et al.: A symptomatic ectopic pancreas in the stomach – a case report. Pol Merkur Lek 2009; 26(155): 493-95.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_pjs-2015-0052
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