Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
内視鏡的乳頭切除術にて診断し得た乳頭部神経内分泌腫瘍の一例
平良 紗月川口 佑輔眞部 優作上原 一帆大塚 俊和田原 久美子渡邊 真彰木田 光広
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2019 年 94 巻 1 号 p. 81-83

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A 58-year-old woman was referred to our hospital because abdominal ultrasonography during a medical check-up revealed dilation of the main pancreatic duct. Contrast-enhanced abdominal computed tomography showed a contrast-enhanced mass in the duodenal papilla associated with a dilated common bile duct and pancreatic duct. Endoscopy showed a submucosal protuberance in the duodenal papilla. Endoscopic ultrasonography (EUS) revealed a hypoechoic mass 12 mm in diameter in the second and third layers at the same site. A diagnosis was not reached on mucosal biopsy. Endoscopic papillectomy was performed to achieve complete biopsy and diagnostic treatment. The tumor was diagnosed with a grade 1 neuroendocrine tumor. Pancreaticoduodenectomy was performed because the tumor measured 17 mm in diameter and had a positive vertical margin. Complications of endoscopic papillectomy were acceptable in our hospital. Endoscopic papillectomy can thus be used as a diagnostic technique.

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© 2019 一般社団法人 日本消化器内視鏡学会 関東支部
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