1998
DOI: 10.1002/(sici)1097-0096(199806)26:5<265::aid-jcu7>3.0.co;2-a
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Carcinoma arising from ectopic pancreas in the stomach: Endosonographic detection of malignant change

Abstract: We present a case of a submucosal tumor in the stomach that was suspicious for malignancy on preoperative endosonography. The resected tumor was histologically diagnosed as a ductal adenocarcinoma that originated in ectopic pancreatic tissue in the gastric wall. Although malignant transformation in ectopic pancreas is extremely rare, it remains an important consideration in the differential diagnosis of gastric submucosal masses. © 1998 John Wiley & Sons, Inc. J Clin Ultrasound 26:265–268, 1998.

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Cited by 57 publications
(26 citation statements)
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“…An ectopic pancreas a b may be subjected to all of the pathologic processes that can occur in the main pancreas, such as inflammation, malignant transformation, cystic degeneration, and abnormal hormonal production. [5][6][7] According to our review of the literature, symptoms were attributable to pancreatic disease in some patients, while in others a strong causal relationship of symptoms to the presence of an ectopic pancreas was difficult to establish as they were consistent with gastric ulcer, duodenal ulcer, pyloric obstruction, cholecystitis, common bile duct obstruction, chronic or acute appendicitis, or indeterminate digestive symptoms. Because the majority of pancreatic heterotopies are symptomatic, operative removal of the lesion for the relief of symptoms rather than for diagnosis or prophylaxis is generally acceptable to the patient, physician, and surgeon, as surgery leads to rapid recovery and a symptom-free postconvalescent lifestyle.…”
Section: Discussionmentioning
confidence: 99%
“…An ectopic pancreas a b may be subjected to all of the pathologic processes that can occur in the main pancreas, such as inflammation, malignant transformation, cystic degeneration, and abnormal hormonal production. [5][6][7] According to our review of the literature, symptoms were attributable to pancreatic disease in some patients, while in others a strong causal relationship of symptoms to the presence of an ectopic pancreas was difficult to establish as they were consistent with gastric ulcer, duodenal ulcer, pyloric obstruction, cholecystitis, common bile duct obstruction, chronic or acute appendicitis, or indeterminate digestive symptoms. Because the majority of pancreatic heterotopies are symptomatic, operative removal of the lesion for the relief of symptoms rather than for diagnosis or prophylaxis is generally acceptable to the patient, physician, and surgeon, as surgery leads to rapid recovery and a symptom-free postconvalescent lifestyle.…”
Section: Discussionmentioning
confidence: 99%
“…They postulated that size greater than 1.5 cm is more likely to be of clinical significance [8] . Other less common symptoms were bleeding mimicking jejunal tumor [9] , pancreatitis, and malignant transformation [10][11][12] . Macroscopically, the tissue often localized in the submucosa, but may also be found in the muscularis mucosa, subserously or in the serosa.…”
Section: Discussionmentioning
confidence: 99%
“…[4][5][6][7][8][9][10][11][12] The patients' ages ranged from 27 to 73 years (56 years, on average). The mean age was younger than that of patients with usual gastric cancer or pancreatic cancer.…”
Section: Discussionmentioning
confidence: 99%