Subepithelial Benign Duodenal Tumors Treated by Surgical Resection: A Case Series at A Single Institution.
10.15279/kpba.2014.19.1.18
- Author:
Seon Mee PARK
1
;
Ji Hoon KIM
;
Dong Hee RYU
;
Lee Chan JANG
;
Sung Yi KANG
;
Rohyun SUNG
;
Jae Woon CHOI
Author Information
1. Departments of Surgery, Chungbuk National University College of Medicine, Medical Research Institute, Cheongju, Korea. jwchoi@chungbuk.ac.kr
- Publication Type:Original Article
- Keywords:
Subepithelial;
Benign tumor;
Duodenum
- MeSH:
Carcinoid Tumor;
Diagnosis;
Duodenum;
Gastrointestinal Stromal Tumors;
Humans;
Incidence;
Lipoma;
Pancreas;
Paraganglioma;
Pathology;
Retrospective Studies
- From:Korean Journal of Pancreas and Biliary Tract
2014;19(1):18-25
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND/AIMS: The incidence of duodenal tumors has increased by health surveillance. However, preoperative diagnosis of subepithelial duodenal tumors remains difficult because of the wide variety of pathologies and the location of the tumors. We analyzed endoscopic, radiological, and pathological features of subepithelial benign duodenal tumors (BDTs), which were treated by surgical resection. METHODS: Five patients with subepithelial BDTs treated by surgical resection were analyzed retrospectively. We compared the preoperative and postoperative diagnosis and evaluated the clinical presentations, endoscopic and radiological findings, surgical treatments, pathological results, and outcomes of these patients. RESULTS: All the patients underwent successful surgical resection. There were two cases of gastrointestinal stromal tumors (GISTs) treated with segmental duodenectomy, one case of carcinoid tumor treated with antrectomy, one case of gangliocytic paraganglioma treated with ampullectomy, and a lipoma removed by mass excision. The two GISTs were in the duodenal third and fourth segment close to the pancreas, and it was difficult to exclude pancreatic tumors by imaging studies. All the patients remained healthy for more than three years. CONCLUSIONS: Subepithelial BDTs are rare and difficult to diagnosis. Awareness and preoperative diagnosis of subepithelial BDTs can lead to minimally invasive treatment, including endoscopic or local surgical resection.
