| GI Image/Video Of The Month
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| Editor: Hans Gerdes, MD | |
| Contributor: Paul Belletrutti, MD/Chris DiMaio, MD | |
| Institution: Memorial Sloan-Kettering Cancer Center | |
| Date: May 2008 | |
| Clinical course: EUS revealed a thick-walled cystic structure in the head of the pancreas measuring 5.1cm x 4.8cm. The pancreatic duct was dilated in the body of the pancreas. Hyperechoic, non-layering internal echoes within the cyst raised suspicion for a solid component. FNA was performed revealing tufts of uniform, polygonal epithelioid cells suggestive of a solid pseudo-papillary tumor. The patient went on to have an uneventful pancreaticoduodenectomy with final pathology confirming the diagnosis.
Diagnosis: Solid pseudo-papillary tumor
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| Diagnosis: Solid pseudo-papillary tumor | |
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| Editor: Hans Gerdes, MD |  |
| Contributor: Arnold Markowitz, MD | |
| Institution: Memorial Sloan-Kettering Cancer Center | |
| Date: October 2007 | |
| Clinical course: EGD demonstrated a 2.5cm round shaped submucosal mass involving the posterior wall of the gastric body, with overlying smooth intact gastric mucosa and a central umbilication. Mucosal biopsies were nondiagnostic. EUS demonstrated a 1.9x2.4cm submucosal mass emanating from the muscularis propria layer of the gastric wall. EUS guided-FNA revealed suspicious cells, suspect spindle cell neoplasm; differential diagnosis included gastrointestinal stromal tumor (GIST). Surgical resection, via partial gastrectomy, confirmed a 3cm spindle cell neoplasm, consistent with GIST. Patient had an uneventful postoperative course, and has since remained with no evidence of recurrent disease. | |
| Diagnosis: Gastric gastrointestinal stromal tumor (GIST) | |
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