Abstract
Duodenal polyps are found quite often in the routine upper endoscopies. Although inflammatory polyps are the most common entity, other lesions such as Brunner’s gland hyperplasia, gastrointestinal stromal tumor, neuroendocrine tumor, and ectopic pancreas can be seen as elevated lesions. Malignant tumors of the duodenum are uncommon. Most malignant duodenal tumors are adenocarcinomas and lymphomas. Pain, obstruction, bleeding, jaundice, and an abdominal mass are the usual symptoms and signs. Duodenal adenocarcinomas in the third and fourth portions of the duodenum are often missed on the routine upper endoscopy. High index of suspicion is very important.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Jung SH, Chung WC, Kim EJ, et al. Evaluation of non-ampullary duodenal polyps: Comparison of non-neoplastic and neoplastic lesions. World J Gastroenterol. 2010;16:5474–80.
Johnson MD, Mackey R, Brown N, Church J, Burke C, Walsh RM. Outcome based on management for duodenal adenomas: sporadic versus familial disease. J Gastrointest Surg. 2010;14:229–35.
Hung FC, Kuo CM, Chuah SK, et al. Clinical analysis of primary duodenal adenocarcinoma: an 11-year experience. J Gastroenterol Hepatol. 2007;22:724–8.
Johnston FM, Kneuertz PJ, Cameron JL, et al. Presentation and management of gastrointestinal stromal tumors of the duodenum: a multi-institutional analysis. Ann Surg Oncol. 2012;19:3351–60.
Kang DY, Park CK, Choi JS, et al. Multiple gastrointestinal stromal tumors: clinicopathologic and genetic analysis of 12 patients. Am J Surg Pathol. 2007;31:224–32.
Min BH, Kim ER, Lee JH, et al. Management strategy for small duodenal carcinoid tumors: does conservative management with close follow-up represent an alternative to endoscopic treatment? Digestion. 2013;87:247–53.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Lee, J.H., Chung, W.C. (2018). Duodenal Tumors. In: Chun, H., Yang, SK., Choi, MG. (eds) Clinical Gastrointestinal Endoscopy. Springer, Singapore. https://doi.org/10.1007/978-981-10-4995-8_16
Download citation
DOI: https://doi.org/10.1007/978-981-10-4995-8_16
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-4994-1
Online ISBN: 978-981-10-4995-8
eBook Packages: MedicineMedicine (R0)