• Internal medicine · Aug 2021

    Case Reports

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

    • Takao Sato, Ryota Sagami, Hidefumi Nishikiori, Hiroaki Tsuji, Keiji Sato, Tsutomu Daa, and Kazunari Murakami.
    • Department of Gastroenterology, Oita San-ai Medical Center, Japan.
    • Intern. Med. 2021 Aug 15; 60 (16): 2593-2599.

    AbstractWe 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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