Ampullary neuroendocrine tumor diagnosed by endoscopic papillectomy in previously confirmed ampullary adenoma

Ampullary adenoma is a common indication for endoscopic papillectomy. Ampullary neuroendocrine tumor(NET) is a rare disease for which complete surgical resection is the treatment of choice. However, because of the morbidity and mortality associated with surgical resection, endoscopic papillectomy is...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2016-04, Vol.22 (13), p.3687-3692
Main Authors: Lee, Seoung Ho, Lee, Tae Hoon, Jang, Si-Hyong, Choi, Chi Young, Lee, Won Myung, Min, Ji Hey, Cho, Hyun Deuk, Park, Sang-Heum
Format: Article
Language:English
Subjects:
Adenoma - chemistry
Adenoma - pathology
Adenoma - surgery
Ampulla
Ampulla of Vater - chemistry
Ampulla of Vater - pathology
Ampulla of Vater - surgery
Biomarkers, Tumor - analysis
Biopsy
Case Report
Common Bile Duct Neoplasms - chemistry
Common Bile Duct Neoplasms - pathology
Common Bile Duct Neoplasms - surgery
Duodenoscopy
Endosonography
Female
Humans
Immunohistochemistry
Middle Aged
Neoplasms, Complex and Mixed
Neuroendocrine Tumors - chemistry
Neuroendocrine Tumors - pathology
Neuroendocrine Tumors - surgery
Predictive Value of Tests
Sphincterotomy, Endoscopic
Treatment Outcome
tumor
Adenoma
Papillectomy
Vater
Neuroendocrine
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Summary:Ampullary adenoma is a common indication for endoscopic papillectomy. Ampullary neuroendocrine tumor(NET) is a rare disease for which complete surgical resection is the treatment of choice. However, because of the morbidity and mortality associated with surgical resection, endoscopic papillectomy is increasingly used in selected cases of low grade, with no metastasis and no invasion of the pancreatic or bile duct. Also, confirmed and complete endoscopic resection of ampullary NET accompanied by adenoma has not been reported to date. We report herein a rare case of an ampullary NET accompanied with adenoma, which was successfully and completely resected via endoscopic papillectomy. Prior to papillectomy, this case was diagnosed as an ampullary adenoma.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v22.i13.3687