Hamada Koichi, Irisawa Atsushi, Horikawa Yoshinori, Shiwa Yoshiki, Techigawara Kae, Ishikawa Masafumi, Nagahashi Takayuki, Fukushima Daizo, Nishino Noriyuki, Sakuma Hideo, Honda Michitaka
Department of Gastroenterology Southern-Tohoku General Hospital Fukushima Japan.
Department of Minimally Invasive Surgical and Medical Oncology Fukushima Medical University Fukushima Japan.
DEN Open. 2022 Nov 27;3(1):e191. doi: 10.1002/deo2.191. eCollection 2023 Apr.
We report the case of a 62-year-old female with a 6.3-mm low-grade neuroendocrine tumor of the ampulla of Vater, who underwent an endoscopic papillectomy. An endoscopic papillectomy was performed without complications. In the 26 months of follow-up, no local recurrence or metastasis occurred. Endoscopic treatment of ampullary neuroendocrine tumors is controversial. However, endoscopic papillectomy may be considered a treatment option if neuroendocrine tumors are small (<10 mm), have a low grade (G1), or do not have muscle layer or bile duct invasion.
我们报告了一例62岁女性患者,其患有6.3毫米的 Vater壶腹低级别神经内分泌肿瘤,该患者接受了内镜下乳头切除术。手术过程顺利,未出现并发症。在26个月的随访中,未发生局部复发或转移。壶腹神经内分泌肿瘤的内镜治疗存在争议。然而,如果神经内分泌肿瘤较小(<10毫米)、级别较低(G1)或未侵犯肌层或胆管,内镜下乳头切除术可被视为一种治疗选择。