Treatment of duodenal carcinoid by strip biopsy

J Clin Gastroenterol. 1995 Mar;20(2):168-71; discussion 71-2. doi: 10.1097/00004836-199503000-00023.

Abstract

In a 70-year-old man with diarrhea and weight loss, upper gastrointestinal endoscopy showed a 0.4-cm nodular lesion at the anterior duodenal bulb with a fissure at the tip of the lesion. The histologic diagnosis of the biopsied specimen revealed a duodenal carcinoid confined to the submucosa. We used strip biopsy to resect the lesion. After resection, diarrhea subsided and weight was increased. Strip biopsy may be a safe and effective choice for management of a duodenal carcinoid if it is < 1 cm in size or confined to the submucosa, especially when mitoses are absent.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Biopsy / methods*
  • Carcinoid Tumor / pathology
  • Carcinoid Tumor / surgery*
  • Duodenal Neoplasms / pathology
  • Duodenal Neoplasms / surgery*
  • Duodenum / pathology
  • Endoscopy, Gastrointestinal / methods
  • Humans
  • Male