Treatment of duodenal carcinoid by strip biopsy.
In a 70-year-old man with diarrhea and weight loss, upper gastrointestinal endoscopy showed a 0.4-cm nodular lesion at the anterior duodenal bulb with a fissure at the tip of the lesion. The histologic diagnosis of the biopsied specimen revealed a duodenal carcinoid confined to the submucosa. We used strip biopsy to resect the lesion. After resection, diarrhea subsided and weight was increased. Strip biopsy may be a safe and effective choice for management of a duodenal carcinoid if it is < 1 cm in size or confined to the submucosa, especially when mitoses are absent.
Perng
C L
CL
Department of Medicine, Veterans General Hospital-Taipei, Taiwan, Republic of China.
Lin
H J
HJ
Wang
K
K
Lai
C R
CR
Lee
S D
SD
D000368:Aged; D001706:Biopsy / Q000379:methods*; D002276:Carcinoid Tumor / Q000473:pathology / Q000601:surgery*; D004379:Duodenal Neoplasms / Q000473:pathology / Q000601:surgery*; D004386:Duodenum / Q000473:pathology; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D006801:Humans; D008297:Male