Endoscopic resection of duodenal bulb neuroendocrine tumor larger than 10 mm in diameter
| Autor: | Hiroki Yamaue, Shozo Yokoyama, Masaji Tani, Katsunari Takifuji, Teiji Naka, Kazuhisa Uchiyama, Manabu Kawai |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Pathology Endoscopic mucosal resection Neuroendocrine tumors Intestinal mucosa Duodenal Neoplasms Duodenal bulb medicine Humans lcsh:RC799-869 Duodenoscopy Intestinal Mucosa Lymph node Duodenal Neoplasm Ultrasonography Interventional business.industry Gastroenterology General Medicine medicine.disease Endoscopic Procedure Tumor Burden Neuroendocrine Tumors medicine.anatomical_structure lcsh:Diseases of the digestive system. Gastroenterology Radiology business Research Article |
| Zdroj: | BMC Gastroenterology BMC Gastroenterology, Vol 11, Iss 1, p 67 (2011) |
| ISSN: | 1471-230X |
| Popis: | Background Endoscopic treatment for duodenal bulb neuroendocrine tumor larger than 10 mm is still controversial. This report presents four cases successfully treated with endosonography (EUS)-assisted endoscopic mucosal resection (EMR) procedure for duodenal bulb neuroendocrine tumor larger than 10 mm in diameter. Methods The case series of four patients diagnosed with neuroendocrine tumor from 2003 to 2008 were reviewed. EUS demonstrated well-defined hypoechoic tumors confined to the submucosal hyperechoic layer and the underlying hypoechoic muscularis propria was intact in all four patients. EMR were planned and performed for the duodenal bulb neuroendocrine tumors larger than 10 mm. Results En bloc resections with tumor free lateral and basal margins were accomplished using an endoscopic diathermic snare with forward-viewing instruments without any complications. Neither residual duodenal neuroendocrine tumors nor metastatic lesions were detected during the observation period ranging 19 to 78 months Conclusion Duodenal bulb neuroendocrine, larger than 10 mm in diameter, can be treated by endoscopic procedure, after confirming that the tumor confined to the submucosal layer in EUS examination, and no lymph node involvement by abdominal CT and US. |
| Databáze: | OpenAIRE |
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