Korean J Helicobacter Up Gastrointest Res.  2011 Sep;11(2):139-143. 10.7704/kjhugr.2011.11.2.139.

Duodenal Carcinoid with Semipedunculated Polyp Treated by Endoscopic Resection

• Kim JE
• Chung WC
• Paik CN
• Lee KM

• KMID: 2249549
• DOI: http://doi.org/10.7704/kjhugr.2011.11.2.139

Abstract

Duodenal carcinoid tumors are rare, and they are increasingly recognized with the more widespread use of upper gastrointestinal endoscopy. In the clinical practice, duodenal carcinoid tumors smaller than 1 cm in diameter and confined to the submucosa can be managed with endoscopic removal. For the tumors 2 cm in diameter or larger, operative excision and regional lymphadenectomy should be performed. For the tumors 1 to 2 cm in diameter, there was no consensus in the selection of treatment modality. A healthy 54 year old man was admitted due to an incidentally detected duodenal polyp during regular health screening. The polyp was 1.3 cm sized semi-pedunculated type and the overlying mucosa was relatively intact. It was removed endoscopically with the snare. The final diagnosis was duodenal carcinoid tumor and there was no recurrence for the subsequent 6 years. For the extremely rare appearance with polyp, we reported this case with a brief review of literatures.

Keyword

Duodenum; Carcinoid; Polyp

MeSH Terms

Carcinoid Tumor
Consensus
Duodenum
Endoscopy, Gastrointestinal
Lymph Node Excision
Mass Screening
Mucous Membrane
Polyps
Recurrence
SNARE Proteins
SNARE Proteins