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Minerva Chirurgica 2016 October;71(5):281-5

lingua: Inglese

Pancreas preserving surgery for duodenal gastrointestinal stromal tumor removal

Daniele CROCETTI, Paolo SAPIENZA, Claudio CISANO, Mariarita TARALLO, Andrea POLISTENA, Luigi VENTURINI, Giuseppe PEDULLÀ, Giorgio DE TOMA

Department of Surgery “Pietro Valdoni”, Sapienza University of Rome, Rome, Italy


BACKGROUND: We reported our experience with high-risk, non-metastatic second portion duodenal gastrointestinal stromal tumor (GIST)s in patients who underwent 1-month neoadjuvant cycles with imatinib therapy followed by pancreas-preserving surgery and 12-month of adjuvant chemotherapic regimen including imatinib. This study was conducted to evaluate the short and long-term results.
METHODS: The study was conducted between January 2010 and May 2015. Medical charts and operative logbooks of patients were retrospectively reviewed.
RESULTS: Nine patients form the basis of the current analysis. All patients underwent curative resection with pancreas preservation, and all specimens had histologically negative margins. The median follow-up was 35 months. Eight patients were alive, 1 patient died for myocardial infarction at a mean follow-up of 10 months, 1 patient had a recurrence at a mean follow-up of 32 months and no patients developed distant metastases.
CONCLUSIONS: We are confident to suggest the use of neoadjuvant and adjuvant Imatinib therapy to those patients affected with D2, high-risk, duodenal GISTs to allow a limited resection.

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