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Gangliocytic
paraganglioma of the duodenum.Arkh
Patol. 2006 Mar-Apr;68(2):46-9.
Gangliocytic
paraganglioma in a female of 64 years of age with stones in the gall
bladder, atrophic liver cirrhosis and gastro-intestinal polyposis is
described in the Russian literature for the first time. Polyps of the
rectum and sygmoid were removed within 15 years. The same pathology
was described by other authors. It is possible that the occurrence of
paraganglioma and polyps was of genetical nature. The tumor was
detected at gastroduodenoscopy. Biopsy diagnosis varied from
polymorphocell liposarcoma and malignant fibrous histiocytoma.
Endoscopic tumor electroexcision was complicated by intestinal
bleeding that followed by an urgent laparatomy, duodenotomy and suture
of the bleeding vessel in the duodenal wall. Bleeding zone in the
duodenum was 3 cm from papilla Vateri. Analysis of difficulties in
clinical and morphological differential diagnosis is performed.
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