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  • Title: Pancreatic gastrointestinal stromal tumour with liver metastasis five years after Whipple's procedure: A rare case with management.
    Author: Begum S, Khan MR.
    Journal: J Pak Med Assoc; 2022 Nov; 72(11):2310-2312. PubMed ID: 37013311.
    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.
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