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Special Feature
November 2002

Image of the Month

Arch Surg. 2002;137(11):1311-1312. doi:

Figure 1. A computed tomographic scan demonstrates a 7 × 5-cm heterogeneous mass involving the third to fourth portions of the duodenum.

Figure 2. An esophagogastroduodenoscopy shows a submucosal mass in the distal duodenum with normal overlying mucosa and an unrelated diverticulum.

The patient underwent exploratory laparotomy at the location of a 7 × 5-cm tumor in the fourth portion of the duodenum, and another 1-cm tumor was identified in the jejunum. Both tumors were resected along with the involved small-bowel segments. The pathologic findings included 7.5-cm and 1.1-cm gastrointestinal stromal tumors (GISTs) with uninvolved surgical margins. The patient had an uneventful postoperative course and was free of disease 6 months after the operation.

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