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01 · ABSTRACT

Abstract

A 77-year-old woman with a history of a pancreatic mass underwent distal pancreatectomy with splenectomy in 2007 in Brazil. After presentation in September 2021 with melena and coffee-ground emesis, she received a computed tomography scan and esophagogastroduodenoscopy revealing a prominent mass lesion including the pancreas at the level of the resection margin with extension into the gastric fundus. Subsequent endoscopic ultrasound and fine needle aspiration biopsy confirmed the lesions as recurrent solid pseudopapillary tumor with direct extension to the gastric fundus. The treatment strategy included chemotherapy, intensity-modulated radiation therapy, and surgery. In this case report, we discuss strategic applications of tri-modality therapy, including surgical removal of residual gastric disease.

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02 · PUBLICATION RECORD

Article details

JournalMedical Research Archives
IssueVol 12 No 8 (2024): Vol 12 No 8 (2024): August ISSUE, Issue 8, VOl.12
SectionCase Reports
Published14 September 2024
ISSN2375-1924
03 · RIGHTS & REUSE

Rights & reuse

This article is published under a Creative Commons Attribution License (CC BY 3.0) and may be shared or distributed by anyone as long as attribution is given to the journal.

Authors & affiliations

VR

Vinaya Rajahraman, MD

Department of Radiation Oncology, University of Massachusetts Chan Medical School, Worcester, MA 01655

JL

James Lindberg, MD

Department of Surgery, University of Massachusetts Chan Medical School, Worcester, MA 01655; Department of Surgery, UMass Memorial Health, Worcester, MA. 01655

RS

R. Leslie Shelton, MD

Department of Surgery, UMass Memorial Health, Worcester, MA. 01655

TA

Tasneem Ali, MD

Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA 01655; Department of Medicine, UMass Memorial Health, Worcester, MA. 01655

NM

Neil Marya, MD

Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA 01655; Department of Medicine, UMass Memorial Health, Worcester, MA. 01655

LM

Lacey McIntosh, DO

Department of Radiology, University of Massachusetts Chan Medical School, Worcester, MA 01655;  Department of Radiology, UMass Memorial Health, Worcester, MA. 01655

EF

Elisa Franquet-Elia

Department of Radiology, University of Massachusetts Chan Medical School, Worcester, MA 01655;  Department of Radiology, UMass Memorial Health, Worcester, MA. 01655

LZ

Larry Zheng, MD

Department of Radiology, University of Massachusetts Chan Medical School, Worcester, MA 01655;  Department of Radiology, UMass Memorial Health, Worcester, MA. 01655

TL

Tasneem Lalani, MD

Department of Radiology, University of Massachusetts Chan Medical School, Worcester, MA 01655;  Department of Radiology, UMass Memorial Health, Worcester, MA. 01655

AG

Alan Goldstein, MD

Department of Radiology, University of Massachusetts Chan Medical School, Worcester, MA 01655;  Department of Radiology, UMass Memorial Health, Worcester, MA. 01655

BM

Brian Midkiff, MD

Department of Radiology, University of Massachusetts Chan Medical School, Worcester, MA 01655;  Department of Radiology, UMass Memorial Health, Worcester, MA. 01655

AF

Andrew Fischer, MD

Department of Pathology, University of Massachusetts Chan Medical School, Worcester, MA; Department of Pathology, UMass Memorial Health, Worcester, MA. 01655

SK

Salwa Khedr, MD

Department of Pathology, University of Massachusetts Chan Medical School, Worcester, MA; Department of Pathology, UMass Memorial Health, Worcester, MA. 01655

YG

Yansong Geng, MS

10 Department of Radiation Oncology, UMass Memorial Health, Worcester, MA 01655

LD

Linda Ding

Department of Radiation Oncology, University of Massachusetts Chan Medical School,   Worcester, MA 01655; Department of Radiation Oncology, UMass Memorial Health, Worcester, MA 01655

MB

Maryann Bishop-Jodoin, MEd

Department of Radiation Oncology, University of Massachusetts Chan Medical School, Worcester, MA 01655

TF

Thomas J. FitzGerald, MD

Department of Radiation Oncology, University of Massachusetts Chan Medical School, Worcester, MA 01655; Department of Radiation Oncology, UMass Memorial Health, Worcester, MA 01655

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