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Case Reports
. 2007 Jul 21;13(27):3763-4.
doi: 10.3748/wjg.v13.i27.3763.

Endoscopic resection of carcinoid of the minor duodenal papilla

Takao Itoi  1 , Atsushi Sofuni, Fumihide Itokawa, Takayoshi Tsuchiya, Toshio Kurihara, Fuminori Moriyasu
Affiliations
Case Reports

Endoscopic resection of carcinoid of the minor duodenal papilla

Takao Itoi et al. World J Gastroenterol. .

Abstract

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.

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Figures

Figure 1
Figure 1
EUS revealed localized hypoechoic mass below the mucosal layer.
Figure 2
Figure 2
A: Endoscopic snare papillectomy of minor papilla was performed; B: Macroscopically, the tumor was yellowish and hard.
Figure 3
Figure 3
A: Histologically, the specimens showed invasive carcinoid tumor cells and the resected cut-end margin showed cancer cells; B: Duodenoscop revealed ulcer formation after the papillectomy.
Figure 4
Figure 4
There was no evidence of recurrence 18 mo after the papillectomy.
See this image and copyright information in PMC

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