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- W2080363193 abstract "A 51-year-old man presented with a 2-month history of periumbilical pain, intermittent vomiting, and modest weight loss. On physical examination, he had mild periumbilical tenderness; laboratory studies, including amylase and lipase, were normal. Contrast-enhanced CT was notable for an arterially enhancing lesion in the pancreatic body suspicious for an islet cell tumor (A, arrow). On EUS, a hypoechoic, 18 × 14-mm round mass was seen near the pancreatic body; air adjacent to the lesion suggested that the mass was arising from the small intestine (B). FNA revealed rare groups of spindle cells. Based on these findings, enteroscopy was performed, which revealed an umbilicated submucosal lesion in the proximal jejunum consistent with a GIST (C). The patient underwent surgical excision (D) of a low-grade, CD117 (c-kit) positive lesion characteristic of a GIST, and postoperatively he is doing well. This case illustrates the ability of EUS to distinguish pancreatic from nonpancreatic processes that may not be appreciated on contrast-enhanced CT." @default.
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- W2080363193 date "2010-05-01" @default.
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- W2080363193 title "Nearly missed GI stromal tumor: EUS diagnosis of a jejunal GI stromal tumor mistaken for a pancreatic mass on CT" @default.
- W2080363193 doi "https://doi.org/10.1016/j.gie.2009.12.035" @default.
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