Pancreatic gastrointestinal stromal tumour with liver metastasis five years after Whipple’s procedure: a rare case with management challenges

Authors

  • Saleema Begum Department of Surgery, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, Pakistan
  • Muhammad Rizwan Khan Department of Surgery, Aga Khan University, Karachi, Pakistan

DOI:

https://doi.org/10.47391/JPMA.4288

Abstract

Pancreatic gastrointestinal tumour is an unusual primary tumour of the pancreas. A 31-year-old male came to the clinic with jaundice and weight loss. Cross-sectional imaging showed a mass in the pancreatic uncinate process. Image-guided biopsy revealed gastrointestinal stromal tumour, so pancreaticoduodenectomy was performed, followed by adjuvant Imatinib. The patient had oligo-metastasis in the liver five years post-surgery and underwent liver resection. This is an unusual case where a pancreatic GIST presented with metastasis while on adjuvant treatment.  Hepatectomy and multimodal therapy increases the survival if the disease is confined to the liver.

Keywords: Pancreas, Gastrointestinal stromal tumour, Whipple’s procedure.

Published

2022-10-15

How to Cite

Saleema Begum, & Khan, M. R. . (2022). Pancreatic gastrointestinal stromal tumour with liver metastasis five years after Whipple’s procedure: a rare case with management challenges. Journal of the Pakistan Medical Association, 72(11), 2310–2312. https://doi.org/10.47391/JPMA.4288

Issue

Section

CASE REPORT