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©2007 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Jul 21, 2007; 13(27): 3763-3764
Published online Jul 21, 2007. doi: 10.3748/wjg.v13.i27.3763
Published online Jul 21, 2007. doi: 10.3748/wjg.v13.i27.3763
Endoscopic resection of carcinoid of the minor duodenal papilla
Takao Itoi, Atsushi Sofuni, Fumihide Itokawa, Takayoshi Tsuchiya, Toshio Kurihara, Fuminori Moriyasu, Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan
Author contributions: All authors contributed equally to the work.
Correspondence to: Takao Itoi, MD, PhD, Department of Gastroenterology and Hepatology, Tokyo Medical University Shinjuku-ku, Nishishinjuku 6-7-1, Tokyo, Japan. itoi@tokyo-med.ac.jp
Telephone: +81-3-33426111 Fax: +81-3-53816654
Received: March 7, 2007
Revised: March 23, 2007
Accepted: March 31, 2007
Published online: July 21, 2007
Revised: March 23, 2007
Accepted: March 31, 2007
Published online: July 21, 2007
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.
Keywords: Endoscopic papillectomy; Carcinoid tumor; Minor duodenal papilla; Papilla of Vater tumor; Duodenal papilla