LARGE DUODENAL GIST WITH COURSE OVER 5 YEARS AND IT’S MANAGEMENT: A CASE REPORT.
Keywords:
Gastrointestinal stromal tumor, duodenum, Imatinib, pancreatoduodenectomyAbstract
ABSTRACT: Gastrointestinal stromal tumor (GIST) is a rare type of neoplasm of the gastrointestinal (GI) tract. Because of the rarity of occurrence, there is not much literature available. Existing literature is in the form of either case report or small case series. This is a case report of a large duodenal GIST diagnosed in 2014. After evaluation and surgical opinion at outside hospital the patient was started on chemotherapy. Patient was non-compliant with the chemotherapy, taking it on and off from 2014 to 2019. In 2019 he was operated with pancreatoduodenectomy at our center and has been on routine follow-up since. Duodenal GIST has anatomical complexities with close proximity to noble structures, there is a lack of consensus on appropriate surgical treatment, prognostic factors and survival which constitute a subject of controversy.
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