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Nikulin M.P.

Blokhin National Cancer Research Center

Nered S.N.

Blokhin National Medical Research Center of Oncology

Yugai V.V.

Blokhin National Cancer Research Center

Meshcheryakov A.A.

Blokhin National Cancer Research Center

Filonenko D.A.

Blokhin National Cancer Research Center

Kolobanova E.S.

Blokhin National Cancer Research Centre

Arkhiri P.P.

Blokhin National Medical Research Center of Oncology

Stilidi I.S.

Blokhin National Medical Research Center of Oncology

Gastrointestinal stromal duodenal tumors: diagnostic mistakes and modern approaches to treatment

Authors:

Nikulin M.P., Nered S.N., Yugai V.V., Meshcheryakov A.A., Filonenko D.A., Kolobanova E.S., Arkhiri P.P., Stilidi I.S.

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Journal: Pirogov Russian Journal of Surgery. 2021;(8): 125‑130

DOI: 10.17116/hirurgia2021081125

Read: 3827 times

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Table of contents

GASTROINTESTINAL STROMAL DUODENAL TUMORS: DIAGNOSTIC MISTAKES AND MODERN APPROACHES TO TREATMENT
GASTROINTESTINAL STROMAL DUODENAL TUMORS: DIAGNOSTIC MISTAKES AND MODERN APPROACHES TO TREATMENT

To cite this article:

Nikulin MP, Nered SN, Yugai VV, et al. . Gastrointestinal stromal duodenal tumors: diagnostic mistakes and modern approaches to treatment. Pirogov Russian Journal of Surgery. 2021;(8):125‑130. (In Russ.)
https://doi.org/10.17116/hirurgia2021081125

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Gastrointestinal stromal duodenal tumors are rare diseases of small intestine. Duodenal GISTs may be giant; these neoplasms can also simulate malignancies of other organs. These features result diagnostic and treatment mistakes. Neoadjuvant therapy with imatinib results tumor shrinkage and ensures organ-sparing surgery. We report duodenal GISTs in patients with primary diagnosis «retroperitoneal tumor», «pancreatic cyst» and «retroperitoneal abscess», who were treated at the Blokhin National Cancer Research Centre in 2019—2020.

Keywords:

Keyworlds: GIST
gastrointestinal stromal tumors
duodenum
gastropancreaticoduodenectomy
imatinib

Authors:

Nikulin M.P.

Blokhin National Cancer Research Center

Nered S.N.

Blokhin National Medical Research Center of Oncology

Yugai V.V.

Blokhin National Cancer Research Center

Meshcheryakov A.A.

Blokhin National Cancer Research Center

Filonenko D.A.

Blokhin National Cancer Research Center

Kolobanova E.S.

Blokhin National Cancer Research Centre

Arkhiri P.P.

Blokhin National Medical Research Center of Oncology

Stilidi I.S.

Blokhin National Medical Research Center of Oncology

Received:

11.09.2020

Accepted:

23.03.2021

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References:

  1. Nilsson B, Bümming P, Meis-Kindblom J, Odén A, Dortok A & Gustavsson B, et al. Gastrointestinal stromal tumors: The incidence, prevalence, clinical course, and prognostication in the preimatinib mesylate era. Cancer. 2005;103(4):821-829.  https://doi.org/10.1002/cncr.20862
  2. Søreide K, Sandvik O, Søreide J, Giljaca V, Jureckova A & Bulusu V. Global epidemiology of gastrointestinal stromal tumours (GIST): A systematic review of population-based cohort studies. Cancer Epidemiology. 2016;40:39-46.  https://doi.org/10.1016/j.canep.2015.10.031
  3. Miettinen M, Lasota J. Gastrointestinal stromal tumors: Pathology and prognosis at different sites. Seminars In Diagnostic Pathology. 2006;23(2):70-83.  https://doi.org/10.1053/j.semdp.2006.09.001
  4. Miettinen M, Kopczynski J, Makhlouf H, Sarlomo-Rikala M, Gyorffy H & Burke A, et al. Gastrointestinal Stromal Tumors, Intramural Leiomyomas, and Leiomyosarcomas in the Duodenum: A Clinicopathologic, Immunohistochemical, and Molecular Genetic Study of 167 Cases. The American Journal Of Surgical Pathology. 2003;27(5):625-641.  https://doi.org/10.1097/00000478-200305000-00006
  5. Jones J, Oh S, Clark C & Pawa R. A Bleeding Duodenal GIST Masquerading as Refractory Peptic Ulcer Disease. ACG Case Reports Journal. 2016;3(1):e189. https://doi.org/10.14309/crj.2016.162
  6. Stilidi I, Nered S, Nikulin M, Egenov O, Petrosyan A & Arkhiri P. Distal duodenectomy: a new option of surgical treatment for duodenal tumors. Khirurgiya. Zhurnal im. N.I. Pirogova. 2019;(9):5.  https://doi.org/10.17116/hirurgia20190915
  7. Shen Z, Chen P, Du N, Khadaroo P, Mao D & Gu L. Pancreaticoduodenectomy versus limited resection for duodenal gastrointestinal stromal tumors: a systematic review and meta-analysis. BMC Surgery. 2019;19(1). https://doi.org/10.1186/s12893-019-0587-4
  8. Beham A, Schaefer I, Cameron S, von Hammerstein K, Füzesi L, Ramadori G, Ghadimi M. Duodenal GIST: a single center experience. International Journal Of Colorectal Disease. 2012;28(4):581-590.  https://doi.org/10.1007/s00384-012-1432-8
  9. Huang Y, Chen G, Lin L, Jin X, Kang M & Zhang Y, et al. Resection of GIST in the duodenum and proximal jejunum: A retrospective analysis of outcomes. European Journal Of Surgical Oncology. 2019;45(10):1950-1956. https://doi.org/10.1016/j.ejso.2019.05.002
  10. Wongta K, Tangsirapat V, Chakrapan Na Ayudhya V, Charutragulchai P, Sripreechapattana S, Chakrapan Na Ayudhya K, et al. A giant jejunal gastrointestinal stromal tumor misconceived as pancreatic cystic neoplasm: A case report. International Journal Of Surgery Case Reports. 2019;60:253-256.  https://doi.org/10.1016/j.ijscr.2019.06.023
  11. Yugay VV, Nikulin MP, Filonenko DA, Mochalnikova VV, Meshcheryakov AA, Bugaev VE, Arhiri PP, Stilidi IS. Gastrointestinal stromal tumor of the greater omentum (clinical case). Vestnik RONC im. N.N. Blokhina. 2018;29:15-19. (In Russ.).
  12. Nered SN, Stilidi IS, Shalenkov VA, et al. Choice of treatment in complicated gastrointestinal stromal tumors patients. Clinical case and literature review. Sovremennaya oncologiya. 2017;12(1):39-43. (In Russ.).
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