Endoscopic Mucosal Resection of Adenocarcinoma at the Minor Duodenal Papilla: A Case Report and Suggestions for the Optimal Treatment Strategy
| Autor: | Takao Sato, Hiroaki Tsuji, Kazunari Murakami, Keiji Sato, Ryota Sagami, Hidefumi Nishikiori, Tsutomu Daa |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Endoscopic Mucosal Resection Minor duodenal papilla Endoscopic mucosal resection Adenocarcinoma Metastasis Lesion Pancreatic tumor Internal Medicine Humans Medicine Aged 80 and over medicine.diagnostic_test business.industry Pancreatic Ducts Magnetic resonance imaging General Medicine medicine.disease Pancreatic Neoplasms Major duodenal papilla Radiology Neoplasm Recurrence Local medicine.symptom business |
| Zdroj: | Internal Medicine. 60:2593-2599 |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.6404-20 |
| Popis: | We herein report an extremely rare case of adenocarcinoma of the minor duodenal papilla (MiDP) which was successfully treated by endoscopic mucosal resection (EMR). An asymptomatic 84-year-old man underwent upper gastrointestinal endoscopy, which revealed a slightly elevated lesion at the MiDP. The biopsy findings were suggestive of adenocarcinoma. Computed tomography, magnetic resonance images and endoscopic ultrasonography did not reveal pancreatic tumor infiltration nor any apparent distant metastases. Therefore, we treated the lesion using EMR with complete resection. No recurrence or metastasis has been detected at 13 months after EMR. Total resection of the MiDP can thus serve as a relatively safe and simple treatment. |
| Databáze: | OpenAIRE |
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