A Large Neuroendocrine Tumor of the Major Duodenal Papilla Removed by Endoscopic Papillectomy / 대한내과학회지
Korean Journal of Medicine
; : 319-324, 2014.
Article
em Ko
| WPRIM
| ID: wpr-62561
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Ampola Hepatopancreática
/
Biópsia
/
Duodenoscopia
/
Tumores Neuroendócrinos
/
História Natural
/
Endossonografia
/
Diagnóstico
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2014
Tipo de documento:
Article