A carcinoid tumor of the ampulla of Vater treated by endoscopic snare papillectomy.
Here, a case of a patient with incidental finding of a carcinoid tumor of the ampulla of Vater, who was treated with endoscopic snare papillectomy, is reported. A 62-year-old male was admitted to our hospital due to a carcinoid tumor of the ampulla of Vater, which was found during follow-up endoscopy after an endoscopic mucosal resection of early gastric cancer. No lymphadenopathy or visceral metastasis was found on an abdominal CT scan, In-111 octerotide scan and EUS. The ampulla was then en bloc removed by endoscopic snare papillectomy. The resected specimen revealed a 0.7 x 0.5 x 0.1 cm sized carcinoid tumor. All margins of resection were negative for tumor. After six months of follow-up, there was no evidence of recurrence and metastasis, either endoscopically or radiologically. To our knowledge, this case is the first report of an ampullary carcinoid tumor treated by endoscopic snare papillectomy in Korea.
Pyun
Dae-Keun
DK
Department of Internal Medicine, University of Ulsan Collage of Medicine, Asan Medical Center, Seoul, Korea.
Moon
Gyoo
G
Han
Jimin
J
Kim
Myung-Hwan
MH
Lee
Sang Soo
SS
Seo
Dong-Wan
DW
Lee
Sung-Koo
SK
D014670:Ampulla of Vater / Q000473:pathology / Q000601:surgery*; D001650:Bile Duct Neoplasms / Q000175:diagnosis / Q000601:surgery*; D002276:Carcinoid Tumor / Q000175:diagnosis / Q000601:surgery*; D004384:Duodenoscopy; D004598:Electrosurgery / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged