A Large Neuroendocrine Tumor of the Major Duodenal Papilla Removed by Endoscopic Papillectomy / 대한내과학회지
Korean Journal of Medicine
;
: 319-324, 2014.
Article
Dans Coréen
| WPRIM
| ID: wpr-62561
ABSTRACT
Neuroendocrine tumors (NET) of the major duodenal papilla are rare and the natural history of this disease is not clear. We experienced a case in a 31-year-old male. Duodenoscopy revealed an enlarged major duodenal papilla with central umbilication and nodularity. Endoscopic ultrasonography (EUS) demonstrated a 3-cm hypoechoic mass that was confined to the submucosa. A biopsy led to the diagnosis of a grade 1 NET. The patient refused surgery, so we performed an endoscopic papillectomy. The tumor was removed completely. The resected specimen confirmed the diagnosis of a well-differentiated NET and all resection margins were negative. Surgical resection is currently considered to be the gold standard for the treatment of a large NET of the major duodenal papilla; however, endoscopic resection is a possible treatment modality for patients at high surgical risk or who are reluctant to undergo surgery.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Ampoule hépatopancréatique
/
Biopsie
/
Duodénoscopie
/
Tumeurs neuroendocrines
/
Histoire naturelle
/
Endosonographie
/
Diagnostic
Type d'étude:
Etude diagnostique
Limites du sujet:
Adulte
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Korean Journal of Medicine
Année:
2014
Type:
Article
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