Endoscopic resection of carcinoid of the minor duodenal papilla.
We encountered a 65-year-old man with a carcinoid tumor of the minor duodenal papilla. Since he had liver cirrhosis and completely refused surgery, we performed an endoscopic snare papillectomy. The papillectomy was performed successfully without procedure-related complication. The specimens revealed a carcinoid tumor showing that the margin of the tumor was positive. One week later, upper GI endoscopy was performed and the biopsy specimens obtained from base of ulcer showed no neoplastic cells. We performed a duodenoscopy and CT 3, 6 and 18 mo later, and there was no macroscopic or microscopic evidence of tumor recurrence after more than 4 years.
Department of Gastroenterology and Hepatology, Tokyo Medical University Shinjuku-ku, Nishishinjuku 6-7-1, Tokyo, Japan. itoi@tokyo-med.ac.jp
Takao
T
Itoi
Atsushi
A
Sofuni
Fumihide
F
Itokawa
Takayoshi
T
Tsuchiya
Toshio
T
Kurihara
Fuminori
F
Moriyasu
D000368:Aged; D002276:Carcinoid Tumor / Q000473:pathology / Q000601:surgery*; D004384:Duodenoscopy; D016145:Endoscopy, Digestive System; D006801:Humans; D008297:Male; D010183:Pancreatic Ducts / Q000473:pathology / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome