Interesting Case of the Month - (IGHP, ICOM) - January
january 2025
Clinical History-
29-year-old male with abdominal pain andmalena single episode. Underwent EUS guided biopsy from the head mass.
From the images below identify the likely disease.
On endoscopy-
UGIE- Large umblicated and ulcerated lesion in Duodenum.
Microscopic Images-
Histology images showed bits of ulcerated small bowel mucosa with presence of proliferated spindle cells in ulcer bed.
Immunohistochemistry Performed-
Immunohistochemistry performed showed the atypical spindle cells are positive for CD34, CD117 and DOG1. Ki67 index is 5-6%.
Diagnosis-
Granulomatous Duodenitis
Gastrointestinal Stromal Tumor
Benign Ulcer
Leiomyoma
