Korean J Pancreas Biliary Tract.  2014 Jan;19(1):18-25. 10.15279/kpba.2014.19.1.18.

Subepithelial Benign Duodenal Tumors Treated by Surgical Resection: A Case Series at A Single Institution

• Park SM
• Kim JH
• Ryu DH
• Jang LC
• Kang SY
• Sung R
• Choi JW

• KMID: 2448430
• DOI: http://doi.org/10.15279/kpba.2014.19.1.18

Abstract

BACKGROUND/AIMS
The incidence of duodenal tumors has increased by health surveillance. However, preoperative diagnosis of subepithelial duodenal tumors remains difficult because of the wide variety of pathologies and the location of the tumors. We analyzed endoscopic, radiological, and pathological features of subepithelial benign duodenal tumors (BDTs), which were treated by surgical resection.
METHODS
Five patients with subepithelial BDTs treated by surgical resection were analyzed retrospectively. We compared the preoperative and postoperative diagnosis and evaluated the clinical presentations, endoscopic and radiological findings, surgical treatments, pathological results, and outcomes of these patients.
RESULTS
All the patients underwent successful surgical resection. There were two cases of gastrointestinal stromal tumors (GISTs) treated with segmental duodenectomy, one case of carcinoid tumor treated with antrectomy, one case of gangliocytic paraganglioma treated with ampullectomy, and a lipoma removed by mass excision. The two GISTs were in the duodenal third and fourth segment close to the pancreas, and it was difficult to exclude pancreatic tumors by imaging studies. All the patients remained healthy for more than three years.
CONCLUSIONS
Subepithelial BDTs are rare and difficult to diagnosis. Awareness and preoperative diagnosis of subepithelial BDTs can lead to minimally invasive treatment, including endoscopic or local surgical resection.

Keyword

Subepithelial; Benign tumor; Duodenum

MeSH Terms

Carcinoid Tumor
Diagnosis
Duodenum
Gastrointestinal Stromal Tumors
Humans
Incidence
Lipoma
Pancreas
Paraganglioma
Pathology
Retrospective Studies