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Korean J Gastrointest Endosc > Volume 40(1); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(1): 36-40.
내시경 점막절제술로 치료한 십이지장 유암종
최종학ㆍ송인도ㆍ오인수ㆍ김범진ㆍ오형철ㆍ김정욱ㆍ김재규
중앙대학교 의과대학 내과학교실
Duodenal Carcinoid Tumor Treated by Endoscopic Mucosal Resection
Jong Hak Choi, M.D., In Do Song, M.D., In Soo Oh, M.D., Beom Jin Kim, M.D., Hyoung Chul Oh, M.D., Jeong Wook Kim, M.D. and Jae Gyu Kim, M.D.
Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea
Abstract
Duodenal carcinoid tumors are rare, and they represent only 2.0∼8.9% of all gastrointestinal carcinoid tumors in the western countries. Duodenal carcinoid tumors have previously been treated by surgical resection. The recently recommended treatment for a carcinoid tumor smaller than 1 cm in diameter is endoscopic resection. We experienced a case of a duodenal carcinoid tumor in a 56 year-old man who presented with upper abdominal pain. On the endoscopic examination, a 6 mm sized polypoid lesion with a central depression was noticed on the duodenal bulb. The biopsy confirmed the diagnosis of carcinoid tumor. The endoscopic ultrasound probe showed a hypoechoic tumor that was confined to the submocosal layer. The tumor was completely resected by an endoscopic mucosal resection technique and using a transparent cap. (Korean J Gastrointest Endosc 2010;40:36-40)
Key Words: Duodenal carcinoid, Endoscopic mucosal resection
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