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DOI: 10.1055/s-0041-1724889
Double Trouble: Two Large Synchronous Retroperitoneal Lesions
A 73-year-old female was admitted for jaundice.
Lab workout showed Bil 7.7 mg/dl, GGT 198 U/L and negative tumor markers. CT scan showed biliary obstruction caused by an atypical large (85mm) lesion located in the pancreatoduodenal groove, and a second smaller lesion adjacent to the pancreatic tail.
EUS FNB was consistent with GIST on both lesions. Subsequent ERCP was uneventfully performed. Patient underwent upfront surgery (duodenopancreatectomy + resection of pancreatic tail lesion) with a final pathologic diagnosis of a GIST with peritoneal metastasis (smaller lesion), therefore a T3N0M1 stage (AJCC 8th edition).
Citation Martins Pinto da Costa A, Gonzalez Haba Ruiz M, Kaibel Axpe I et al. eP398V DOUBLE TROUBLE: TWO LARGE SYNCHRONOUS RETROPERITONEAL LESIONS. Endoscopy 2021; 53: S226.
Publication History
Article published online:
19 March 2021
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