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Japanese Journal of Clinical Oncology 33:364-366 (2003)
© 2003 Foundation for Promotion of Cancer Research

Segmental Resection of the Third Portion of the Duodenum for a Gastrointestinal Stromal Tumor: a Case Report

Yoshihiro Sakamoto1, Junji Yamamoto1, Hidenori Takahashi1, Norihiro Kokudo2, Toshiharu Yamaguchi1, Tetsuichiro Muto1 and Masatoshi Makuuchi2,+

1 Department of Surgery, Cancer Institute Hospital, Tokyo and 2 Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

We describe a case in which segmental resection of the third portion of the duodenum was performed for a gastrointestinal stromal tumor (GIST). A 31-year-old woman was found to have a 3.5 cm hypovascular tumor at the posterior inferior aspect of the pancreatic head. Preoperative duodenal biopsy revealed that the tumor was positive for c-kit and vimentin, and was diagnosed as a duodenal GIST. Segmental resection of the third portion of the duodenum with papilloplasty and duodenojejunostomy was carried out and there were no postoperative complications. Pancreatoduodenectomy is not always necessary in the treatment of a duodenal GIST. This duodenectomy procedure can serve as a less extensive resection for a duodenal GIST located in the third portion of the duodenum.

+ For all reprints and correspondence: Junji Yamamoto, Department of Surgery, Cancer Institute Hospital, 1–37–1 Kami-Ikebukuro, Toshima-ku, Tokyo, Japan. Tel: +81-3-3918-0111 ext. 5726. Fax: +81-3-5394-3889. E-mail: jyamamoto{at}jfcr.or.jp


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