Gastroenteropancreatic neuroendocrine tumor of the accessory papilla of the duodenum: a case report
Abstract Background Contrary to the increasing incidence of gastroenteropancreatic neuroendocrine tumors (GEP-NETs), GEP-NETs of the accessory papilla of the duodenum are extremely rare. Furthermore, there have been no recommendations regarding the treatment strategy for GEP-NETs of the accessory pa...
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doaj-0a35c0b8adaa4a0a8668450efb865d8d2021-07-04T11:40:50ZengSpringerOpenSurgical Case Reports2198-77932021-06-01711510.1186/s40792-021-01241-4Gastroenteropancreatic neuroendocrine tumor of the accessory papilla of the duodenum: a case reportKosei Takagi0Yuzo Umeda1Ryuichi Yoshida2Kazuhiro Yoshida3Kazuya Yasui4Hiroki Sato5Takahito Yagi6Toshiyoshi Fujiwara7Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesAbstract Background Contrary to the increasing incidence of gastroenteropancreatic neuroendocrine tumors (GEP-NETs), GEP-NETs of the accessory papilla of the duodenum are extremely rare. Furthermore, there have been no recommendations regarding the treatment strategy for GEP-NETs of the accessory papilla of the duodenum. We present a case of GEP-NET of the accessory papilla of the duodenum successfully treated with robotic pancreatoduodenectomy. Case presentation A case of a 70-year-old complaining of no symptoms was diagnosed with GEP-NET of the accessory papilla of the duodenum. A 8-mm tumor was located at the submucosal layer with a biopsy demonstrating a neuroendocrine tumor grade 1. The patient underwent robotic pancreatoduodenectomy as curative resection for the tumor. The total operative time was 406 min with an estimated blood loss of 150 mL. The histological examination revealed a well-differentiated neuroendocrine tumor with low Ki-67 index (< 1%). In the posterior areas of the pancreas, the lymph node metastases were detected. The patient was followed up for 6 months with no recurrence postoperatively. Conclusions Considering the potential risks of the lymph node metastases, the standard treatment strategy for GEP-NETs of the accessory papilla of the duodenum should be radical resection with pancreatoduodenectomy. Minimally invasive approach can be the alternative to the conventional open surgery.https://doi.org/10.1186/s40792-021-01241-4Accessory papilla of the duodenumNeuroendocrine tumorCarcinoid tumor |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kosei Takagi Yuzo Umeda Ryuichi Yoshida Kazuhiro Yoshida Kazuya Yasui Hiroki Sato Takahito Yagi Toshiyoshi Fujiwara |
spellingShingle |
Kosei Takagi Yuzo Umeda Ryuichi Yoshida Kazuhiro Yoshida Kazuya Yasui Hiroki Sato Takahito Yagi Toshiyoshi Fujiwara Gastroenteropancreatic neuroendocrine tumor of the accessory papilla of the duodenum: a case report Surgical Case Reports Accessory papilla of the duodenum Neuroendocrine tumor Carcinoid tumor |
author_facet |
Kosei Takagi Yuzo Umeda Ryuichi Yoshida Kazuhiro Yoshida Kazuya Yasui Hiroki Sato Takahito Yagi Toshiyoshi Fujiwara |
author_sort |
Kosei Takagi |
title |
Gastroenteropancreatic neuroendocrine tumor of the accessory papilla of the duodenum: a case report |
title_short |
Gastroenteropancreatic neuroendocrine tumor of the accessory papilla of the duodenum: a case report |
title_full |
Gastroenteropancreatic neuroendocrine tumor of the accessory papilla of the duodenum: a case report |
title_fullStr |
Gastroenteropancreatic neuroendocrine tumor of the accessory papilla of the duodenum: a case report |
title_full_unstemmed |
Gastroenteropancreatic neuroendocrine tumor of the accessory papilla of the duodenum: a case report |
title_sort |
gastroenteropancreatic neuroendocrine tumor of the accessory papilla of the duodenum: a case report |
publisher |
SpringerOpen |
series |
Surgical Case Reports |
issn |
2198-7793 |
publishDate |
2021-06-01 |
description |
Abstract Background Contrary to the increasing incidence of gastroenteropancreatic neuroendocrine tumors (GEP-NETs), GEP-NETs of the accessory papilla of the duodenum are extremely rare. Furthermore, there have been no recommendations regarding the treatment strategy for GEP-NETs of the accessory papilla of the duodenum. We present a case of GEP-NET of the accessory papilla of the duodenum successfully treated with robotic pancreatoduodenectomy. Case presentation A case of a 70-year-old complaining of no symptoms was diagnosed with GEP-NET of the accessory papilla of the duodenum. A 8-mm tumor was located at the submucosal layer with a biopsy demonstrating a neuroendocrine tumor grade 1. The patient underwent robotic pancreatoduodenectomy as curative resection for the tumor. The total operative time was 406 min with an estimated blood loss of 150 mL. The histological examination revealed a well-differentiated neuroendocrine tumor with low Ki-67 index (< 1%). In the posterior areas of the pancreas, the lymph node metastases were detected. The patient was followed up for 6 months with no recurrence postoperatively. Conclusions Considering the potential risks of the lymph node metastases, the standard treatment strategy for GEP-NETs of the accessory papilla of the duodenum should be radical resection with pancreatoduodenectomy. Minimally invasive approach can be the alternative to the conventional open surgery. |
topic |
Accessory papilla of the duodenum Neuroendocrine tumor Carcinoid tumor |
url |
https://doi.org/10.1186/s40792-021-01241-4 |
work_keys_str_mv |
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