| Duodenal Carcinoid with Semipedunculated Polyp Treated by Endoscopic Resection |
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Jung Eun Kim, Woo Chul Chung, Chang Nyol Paik, Kang Moon Lee |
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Department of Internal Medicine, St. Vincent Hospital, The Catholic University College of Medicine, Suwon, Korea. jwchulkr@yahoo.co.kr |
| 내시경 절제로 치료한 아유경성 용종 형태의 십이지장 유암종 |
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김정은, 정우철, 백창렬, 이강문 |
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가톨릭대학교 의과대학 성빈센트병원 내과학교실 |
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| Abstract |
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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. |
| Key Words:
Duodenum; Carcinoid; Polyp |
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