Endoscopic papillectomy of minor papillar adenoma associated with pancreas divisum

Kanamori, Akira; Kumada, Takashi; Kiriyama, Seiki; Sone, Yoshitsugu; Tanikawa, Makoto; Hisanaga, Yasuhiro; Toyoda, Hidenori; Kawashima, Hiroki; Itoh, Akihiro; Hirooka, Yoshiki; Goto, Hidemi

doi:10.3748/wjg.15.1138

Cited by 11 publications

(14 citation statements)

References 12 publications

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“…Using no touch isolation, the tumor was not exposed to the operative field as in a transduodenal local resection, and the whole layer of the duodenum could be resected. In addition, several cases of endoscopic resection for neoplasms of minor duodenal papilla such as adenomas [35,36], carcinoid tumors [37], or gangliocytic paraganglioma [38,39] have been previously reported. Early and exact preoperative diagnosis of duodenal neoplasms makes it possible to select an appropriate surgical strategy, which also maintains curability.…”

Section: Discussionmentioning

confidence: 97%

Adenocarcinoma of the minor duodenal papilla treated with pancreas-sparing segmental duodenectomy: case report and review of the literature

Zuiki

Sata

Sasanuma

et al. 2011

Clin J Gastroenterol

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Carcinoma of the minor duodenal papilla is extremely rare. We present the case of a 69-year-old man diagnosed with a tumor of the second portion of the duodenum by upper gastrointestinal endoscopy, which revealed a 1.5-cm elevated tumor with slight ulceration at the minor duodenal papilla. Biopsy revealed adenocarcinoma, and a computed tomography scan showed an enhanced tumor in the duodenum, with no abnormality in the pancreatic head. A pancreas-sparing segmental duodenectomy was performed, and the duodenum reconstructed with an end-to-end anastomosis. Microscopically, the tumor was a well-differentiated adenocarcinoma, with no infiltration at the cut end of the accessory pancreatic duct. The postoperative course was uneventful and the patient discharged on postoperative day 11. We reviewed previously reported cases of carcinoma of the minor duodenal papilla. Early and exact preoperative diagnosis of duodenal neoplasms makes it possible to select a less invasive treatment, which also maintains curability.

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Section: Discussionmentioning

confidence: 97%

Adenocarcinoma of the minor duodenal papilla treated with pancreas-sparing segmental duodenectomy: case report and review of the literature

Zuiki

Sata

Sasanuma

et al. 2011

Clin J Gastroenterol

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“…Most MiDP tumors are reported to be adenomas (8)(9)(10)(11)(12), neuroendocrine tumors (13,14), or rarely, ganglyocytic paragangliomas (15,16). MiDP adenocarcinoma is extremely rare.…”

Section: Characteristics Of Midp Adenocarcinomamentioning

confidence: 99%

Endoscopic Mucosal Resection of Adenocarcinoma at the Minor Duodenal Papilla: A Case Report and Suggestions for the Optimal Treatment Strategy

et al. 2021

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We herein report an extremely rare case of adenocarcinoma of the minor duodenal papilla (MiDP) which was successfully treated by endoscopic mucosal resection (EMR). An asymptomatic 84-year-old man underwent upper gastrointestinal endoscopy, which revealed a slightly elevated lesion at the MiDP. The biopsy findings were suggestive of adenocarcinoma. Computed tomography, magnetic resonance images and endoscopic ultrasonography did not reveal pancreatic tumor infiltration nor any apparent distant metastases. Therefore, we treated the lesion using EMR with complete resection. No recurrence or metastasis has been detected at 13 months after EMR. Total resection of the MiDP can thus serve as a relatively safe and simple treatment.

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“…Tumors of the minor papilla are uncommon and, to date, are only described in case reports. 1 – 7 In contrast, tumors of the major papilla account for approximately 5% of gastrointestinal (GI) neoplasms. 8 Duodenal adenomas may occur as sporadic lesions or in patients with familial adenomatous polyposis (FAP).…”

Section: Introductionmentioning

confidence: 99%

Minor Papilla Adenoma Management in Patients with Pancreas Divisum and Familial Adenomatous Polyposis

Lapp

Hutchins

2013

ACG Case Reports Journal

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Several case reports on endoscopic resection of minor papilla adenomas exist in the literature. However, there are no reported cases of endoscopic resection in patients with minor papilla adenomas with associated familial adenomatous polyposis (FAP) and pancreas divisum. We report a case of a minor papilla adenoma in a patient with FAP and pancreas divisum. The case demonstrates a new association between these disease processes. Defining pancreatic ductal anatomy prior to endoscopic intervention is essential. In addition, we demonstrate the safety and feasibility of endoscopic management of minor papilla tumors in patients with FAP and associated pancreas divisum.

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Endoscopic papillectomy of minor papillar adenoma associated with pancreas divisum

Cited by 11 publications

References 12 publications

Adenocarcinoma of the minor duodenal papilla treated with pancreas-sparing segmental duodenectomy: case report and review of the literature

Adenocarcinoma of the minor duodenal papilla treated with pancreas-sparing segmental duodenectomy: case report and review of the literature

Endoscopic Mucosal Resection of Adenocarcinoma at the Minor Duodenal Papilla: A Case Report and Suggestions for the Optimal Treatment Strategy

Minor Papilla Adenoma Management in Patients with Pancreas Divisum and Familial Adenomatous Polyposis

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