Advertisement

Duodenal Tumors

  • Jun Haeng Lee
  • Woo Chul Chung
Chapter

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.

Keywords

Duodenal polyp Brunner’s gland hyperplasia Gastrointestinal stromal tumor Neuroendocrine tumor Malignant tumor 

References

  1. 1.
    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.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    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.CrossRefPubMedGoogle Scholar
  3. 3.
    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.CrossRefPubMedGoogle Scholar
  4. 4.
    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.CrossRefGoogle Scholar
  5. 5.
    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.CrossRefPubMedGoogle Scholar
  6. 6.
    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.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  1. 1.Department of Medicine, Samsung Medical CenterSungkyunkwan University School of MedicineSeoulSouth Korea
  2. 2.Department of Internal Medicine, St. Vincent’s Hospital, College of MedicineThe Catholic University of KoreaSuwonSouth Korea

Personalised recommendations