Endoscopic papillectomy for simultaneous epithelial tumors of major and minor duodenal papillae

A 75-year-old male was referred to our hospital for endoscopic treatment of cancer at the esophagogastric junction. Preceding the treatment, endoscopic examination revealed tumors in the major and minor duodenal papillae (Fig. 1A –C), diagnosed as adenocarcinoma and adenoma, respectively, through biopsy. CT scans ruled out lymph node metastasis, and MRCP excluded pancreatic divisum. In the endoscopic ultrasound examination, no infiltration into the common bile duct or pancreatic duct was observed.
Source: Digestive and Liver Disease - Category: Gastroenterology Authors: Tags: Image of the Month Source Type: research