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Synchronous Periampullary Tumors in a Patient With Pancreas Divisum and Neurofibromatosis Type 1.


ABSTRACT:

Introduction

In this study, we describe for the first time a Neurofibromatosis type 1 patient with pancreas divisum, multiple periampullary tumors and germline pathogenic variants in NF1 and CFTR genes.

Case report

A 62-year-old female NF1 patient presented with weakness, choluria, nausea, and diffuse abdominal pain to an emergency room service. Magnetic resonance imaging revealed an abdominal mass involving the periampullary region and pancreas divisum. After surgical resection, three synchronous neoplasms were detected including two ampullary tumors (adenocarcinoma of the major ampulla and a neuroendocrine tumor of the minor ampulla) and a gastrointestinal stromal tumor (GIST). Germline multigene panel testing (MGPT) identified two pathogenic heterozygous ger

SUBMITTER: Gregorio C 

PROVIDER: S-EPMC7212385 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature