USE OF STRIP BIOPSY FOR EARLY DUODENAL CANCER - A CASE-REPORT

A 67-year-old man was referred for investigation of an abdominal mass. Upper gastrointestinal endoscopy revealed a polypoid lesion with a ce ntral depression in the duodenum. CT scan demonstrated a cystic lesion anterior to the pancreas. Examination of a biopsy specimen of the duo denal lesion suggested it was a carcinoma. Strip biopsy was therefore performed, and histological examination revealed a tubular adenocarcin oma with invasion limited to the mucosa, indicating that the lesion wa s completely resected. Subsequent 24-month follow-up did not indicate recurrence of the cancer. Strip biopsy thus appears to be a safe and e fficient procedure for the management of early duodenal cancer.