DUODENAL CARCINOID-TUMOR - ENDOSONOGRAPHIC IMAGING AND ENDOSCOPIC RESECTION

A 75-yr-old Japanese woman was shown by endoscopy to have a sessile po lyp in the duodenal bulb. Endoscopic biopsy confirmed the diagnosis of carcinoid tumor, The endoscopic ultrasound probe showed a 6-mm hypoec hoic tumor that was confined to the submucosal layer; the underlying m uscularis propria layer was intact. On the basis of these findings, en doscopic resection was chosen, and the tumor was completely resected b y the strip biopsy technique with prior hypertonic saline and epinephr ine injection; there were no complications.