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Oncol Lett. 2017 Sep;14(3):3755-3759. doi: 10.3892/ol.2017.6576. Epub 2017 Jul 15.

An early superficial non-ampullary duodenal tumor cured with endoscopic submucosal dissection: A case report.

Oncology letters

Yi Wei Fu, Mao Song Lin, Bing Yang, Hong Yu, Xia Jiao, Jun Xing Huang

Affiliations

  1. Department of Gastroenterology, Taizhou People's Hospital, Taizhou, Jiangsu 225300, P.R. China.
  2. Department of Pathology, Taizhou People's Hospital, Taizhou, Jiangsu 225300, P.R. China.
  3. Department of Oncology, Taizhou People's Hospital, Taizhou, Jiangsu 225300, P.R. China.

PMID: 28927143 PMCID: PMC5588043 DOI: 10.3892/ol.2017.6576

Abstract

Early superficial non-ampullary duodenal tumors are particularly rare, the clinical manifestations, including typical endoscopic or imaging features, and treatment methods are not well-characterized. The present case report describes a case of an asymptomatic 74-year-old male who presented to the Taizhou People's Hospital (Taizhou, China) for a regular health screening, where a primary superficial non-ampullary duodenal tumor was identified. Upper endoscopy revealed ~1.2 cm lesion in the second portion of the duodenum. Chromoscopy and magnification endoscopy indicated an early cancer characteristic. Subsequent endoscopic submucosal dissection was performed to remove the lesion. Histopathology validated that the lesion was a high-grade intro-epithelial neoplasm without lymph node or blood vessel invasion.

Keywords: endoscopic submucosal dissection; high grade intro-epithelial neoplasm; magnifying endoscopy; narrow band imaging; superficial non-ampullary duodenal tumor

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