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TEST YOUR IMAGE IQ

A 48-Year-Old Woman With Abdominal Pain; Mass in the Duodenum Is Discovered

By Cesar Moran, MD | June 1, 2012

Professor, Pathology, University of Texas MD Anderson Cancer Center, Houston, Texas

Answer 1

D. Synaptophysin

Answer 2

D. Paraganglioma, gangliocytic

Comment

Paragangliomas are unusual tumors of the gastrointestinal tract. They occur more often in adult individuals who may present with symptoms of abdominal pain, obstruction, and bleeding.

The tumor has a predilection for the duodenum, although it has also been described in other areas of the small intestine.

Complete surgical resection is the treatment of choice and the prognosis is excellent. However, in some cases metastatic disease to lymph nodes has been described.

Reference

1. Burke AP, Helwig EB. Gangliocytic paraganglioma. Am J Clin Pathol. 1989;92:1-9.

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Bone Metastases End-of-Life Care Palliative Care	Ethics in Oncology Practice Management Practice & Policy

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