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.

Publikationsverlauf

Artikel online veröffentlicht:
19. März 2021