Endoscopic removal of a pedunculated early duodenal cancer : diagnostic value of endoscopic ultrasound
| Journal | Volume 65 - 2002 |
| Issue | Fasc.1 - Case reports |
| Author(s) | Tsuyoshi Yoshimoto, Kazuya Akahoshi, Kazuo Nakanishi, Hajime Nawata |
| Full article |
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| (1) First Department of Internal Medicine, Aso Iizuka Hospital, Iizuka, Japan ; (2) Department of Gastroenterology, Aso Iizuka Hospital, Iizuka, Japan ; (3) Department of Pathology, Aso Iizuka Hospital, Iizuka, Japan ; (4) Third Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan. |
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A 79-year-old Japanese woman was admitted to our hospital for evaluation of a polypoid lesion in the second portion of the duode- num. Radiographic and endoscopic examinations of the upper gastrointestinal tract indicated that this mass was pedunculated and had a nodular surface. Endoscopic ultrasonography demon- strated a hypoechoic tumor limited to the mucosa without lymph node involvement. Endoscopic polypectomy was performed. Histologic examination showed a tubular adenocarcinoma arising in an adenoma with invasion limited to the mucosa. Findings were consistent with complete endoscopic resection. Follow-up over a 12-month period has disclosed no evidence of tumor recurrence. Endoscopic polypectomy using information from endoscopic ultrasonography would appear to be a safe and effective method for diagnosis and treatment of pedunculated early duodenal can- cers. (Acta gastroenterol. belg., 2002, 65, 52-54) |
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© Acta Gastro-Enterologica Belgica. |
