Endoscopic Mucosal Resection of Adenocarcinoma at the Minor Duodenal Papilla: A Case Report and Suggestions for the Optimal Treatment Strategy

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...

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Autores principales: Sato, Takao, Sagami, Ryota, Nishikiori, Hidefumi, Tsuji, Hiroaki, Sato, Keiji, Daa, Tsutomu, Murakami, Kazunari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8429288/
https://www.ncbi.nlm.nih.gov/pubmed/33716282
http://dx.doi.org/10.2169/internalmedicine.6404-20
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author Sato, Takao
Sagami, Ryota
Nishikiori, Hidefumi
Tsuji, Hiroaki
Sato, Keiji
Daa, Tsutomu
Murakami, Kazunari
author_facet Sato, Takao
Sagami, Ryota
Nishikiori, Hidefumi
Tsuji, Hiroaki
Sato, Keiji
Daa, Tsutomu
Murakami, Kazunari
author_sort Sato, Takao
collection PubMed
description 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.
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spelling pubmed-84292882021-09-24 Endoscopic Mucosal Resection of Adenocarcinoma at the Minor Duodenal Papilla: A Case Report and Suggestions for the Optimal Treatment Strategy Sato, Takao Sagami, Ryota Nishikiori, Hidefumi Tsuji, Hiroaki Sato, Keiji Daa, Tsutomu Murakami, Kazunari Intern Med Case Report 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. The Japanese Society of Internal Medicine 2021-03-15 2021-08-15 /pmc/articles/PMC8429288/ /pubmed/33716282 http://dx.doi.org/10.2169/internalmedicine.6404-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Sato, Takao
Sagami, Ryota
Nishikiori, Hidefumi
Tsuji, Hiroaki
Sato, Keiji
Daa, Tsutomu
Murakami, Kazunari
Endoscopic Mucosal Resection of Adenocarcinoma at the Minor Duodenal Papilla: A Case Report and Suggestions for the Optimal Treatment Strategy
title Endoscopic Mucosal Resection of Adenocarcinoma at the Minor Duodenal Papilla: A Case Report and Suggestions for the Optimal Treatment Strategy
title_full Endoscopic Mucosal Resection of Adenocarcinoma at the Minor Duodenal Papilla: A Case Report and Suggestions for the Optimal Treatment Strategy
title_fullStr Endoscopic Mucosal Resection of Adenocarcinoma at the Minor Duodenal Papilla: A Case Report and Suggestions for the Optimal Treatment Strategy
title_full_unstemmed Endoscopic Mucosal Resection of Adenocarcinoma at the Minor Duodenal Papilla: A Case Report and Suggestions for the Optimal Treatment Strategy
title_short Endoscopic Mucosal Resection of Adenocarcinoma at the Minor Duodenal Papilla: A Case Report and Suggestions for the Optimal Treatment Strategy
title_sort endoscopic mucosal resection of adenocarcinoma at the minor duodenal papilla: a case report and suggestions for the optimal treatment strategy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8429288/
https://www.ncbi.nlm.nih.gov/pubmed/33716282
http://dx.doi.org/10.2169/internalmedicine.6404-20
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