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ABDOMEN / Stomach   42 / M,  Known subepithelial tumor in the stomach on gastroscopy
About Author
Authors Sang Won Kim
Institution Kyung Hee University Hospital at Gangdong
E-mail rad2000@hanmail.net
About Case
Chief complaint
or Title
Known subepithelial tumor in the stomach on gastroscopy
Subspecialty ABDOMEN / Stomach
Classification Neoplasm, benign / others
Age 42 Sex M
Difficulty For resident, For specialist
Modality US, CT
Case Figures
Click above Figure for more images.
Questions
What is your diagnosis?
Answer
Diagnosis Ectopic pancreas
Comments

*Ectopic pancreas: DDx from gastric GIST or leiomyoma on CT

-typical location: prepyloric antrum and duodenum

-endoluminal growth pattern

-ill-defined border

-prominent enhancement of overlying mucosa

-ovoid appearance: long diameter/short diameter > 1.4 

References 1. Kim JY, Lee JM, Kim KW, et al. Ectopic pancreas: CT findings with emphasis on differentiation from small gastrointestinal stromal tumor and leiomyoma. Radiology 2009;252:92-100. 2. Borghei P, Sokhandon F, Shirkhoda A, et al. Anomalies, anatomic variants, and sources of diagnostic pitfalls in pancreatic imaging. Radiology 2013;266:28-36.
Keywords Ectopic pancreas, gastric submucosal tumor
Attachment File -

Number of Applicants : 33
Correct Answer 11
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Shiga University of Medical Science Akitoshi Inoue
University of Tokyo Hospital Toshihiro Furuta
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