Journal Article

A 12-mm Carcinoid Tumor of the Minor Duodenal Papilla with Lymph Node Metastases

Yasuyuki Fukami, Yasuhiro Kurumiya, Keisuke Mizuno, Ei Sekoguchi, Satoshi Kobayashi, Akira Ito, Akihiro Tomida, Sakura Onishi, Ryo Shirotsuki, Kenji Okubo and Michihiko Narita

in Japanese Journal of Clinical Oncology

Volume 43, issue 1, pages 74-77
Published in print January 2013 | ISSN: 0368-2811
Published online November 2012 | e-ISSN: 1465-3621 | DOI: http://dx.doi.org/10.1093/jjco/hys185
A 12-mm Carcinoid Tumor of the Minor Duodenal Papilla with Lymph Node Metastases

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Carcinoid tumors located in the minor duodenal papilla are extremely rare, with only a few cases reported in the literature. Herein, we report the case of a 71-year-old man with a 12-mm carcinoid tumor at the minor duodenal papilla with lymph node metastases. Multidetector-row computed tomography with contrast enhancement revealed a 12-mm well-enhanced tumor in the duodenum. Upper gastrointestinal endoscopy showed a 12-mm submucosal tumor at the minor papilla of the duodenum. Biopsy specimens revealed a carcinoid tumor, and a subtotal stomach-preserving pancreatoduodenectomy was performed. Carcinoid tumors at the minor duodenal papilla have a high prevalence of nodal disease, even for tumors <2 cm in diameter. Therefore, we believe that radical resection with tumor-free margins (i.e. pancreatoduodenectomy) is the treatment of choice.

Keywords: carcinoid; minor papilla; NET

Journal Article.  1373 words.  Illustrated.

Subjects: Medical Oncology

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