Background: Duodenal neuroendocrine tumors (NETs) are uncommon, accounting for less than 4% of all gastrointestinal neoplasms. Prognosis is related to tumoral staging and grading, as well as to the specific subtype. In this article, we retrospectively describe the clinical presentation and surgical treatment of two rare large duodenal NETs: a high-grade G3 NET and a Gangliocytic Paraganglioma (GP). Methods: Both patients presented with moderate-to-high-degree abdominal pain, without jaundice. Main vessel involvement and metastatic spread were excluded with imaging, while preoperative bioptic diagnosis was obtained via percutaneous needle citology and endoscopic ultrasound. Results: The presence of a sessile large lesion contraindicated any conservative approach in favor of a pancreaticoduodenectomy (PD). The detection of soft pancreatic tissue and a narrowed main pancreatic duct led us to perform a pancreaticogastrostomy to restore proper pancreatic drainage and to minimize the risk of postoperative leakage. Conclusion: PD may be a favorable choice in these cases; this procedure is challenging, but it results in a safer and more favorable clinical outcome for our patients. Pancreaticogastrostomy may guarantee lower rates of postoperative leak and appears to be preferred in this subset of patients.
机构:
Rene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, FranceRene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, France
Barret, Maximilien
Rahmi, Gabriel
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Rene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, FranceRene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, France
Rahmi, Gabriel
van Huyen, Jean-Paul Duong
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Rene Descartes Paris V Med Univ, Dept Pathol, Georges Pompidou European Hosp, F-75015 Paris, FranceRene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, France
van Huyen, Jean-Paul Duong
Landi, Bruno
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Rene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, FranceRene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, France
Landi, Bruno
Cellier, Christophe
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h-index: 0
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Rene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, FranceRene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, France
Cellier, Christophe
Berger, Anne
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h-index: 0
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Rene Descartes Paris V Med Univ, Dept Abdominal Surg, Georges Pompidou European Hosp, F-75015 Paris, FranceRene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, France
机构:
Virginia Mason Med Ctr, Sect Gen Vasc & Thorac Surg, 1100 Ninth Ave,CS-G6, Seattle, WA 98101 USAVirginia Mason Med Ctr, Sect Gen Vasc & Thorac Surg, 1100 Ninth Ave,CS-G6, Seattle, WA 98101 USA
Bonds, Morgan
Rocha, Flavio G.
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h-index: 0
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Virginia Mason Med Ctr, Sect Gen Vasc & Thorac Surg, 1100 Ninth Ave,CS-G6, Seattle, WA 98101 USA
Univ Washington, Seattle, WA 98195 USAVirginia Mason Med Ctr, Sect Gen Vasc & Thorac Surg, 1100 Ninth Ave,CS-G6, Seattle, WA 98101 USA
机构:
Yokohama City Univ, Dept Oncol, Grad Sch Med, Yokohama, Kanagawa, JapanYokohama City Univ, Dept Oncol, Grad Sch Med, Yokohama, Kanagawa, Japan
Ichikawa, Yasushi
Kobayashi, Noritoshi
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h-index: 0
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Yokohama City Univ, Dept Oncol, Grad Sch Med, Yokohama, Kanagawa, JapanYokohama City Univ, Dept Oncol, Grad Sch Med, Yokohama, Kanagawa, Japan
Kobayashi, Noritoshi
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Takano, Shoko
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Kato, Ikuma
Endo, Keigo
论文数: 0引用数: 0
h-index: 0
机构:
Kyoto Coll Med Sci, Kyoto, JapanYokohama City Univ, Dept Oncol, Grad Sch Med, Yokohama, Kanagawa, Japan
Endo, Keigo
Inoue, Tomio
论文数: 0引用数: 0
h-index: 0
机构:
Yokohama City Univ, Dept Radiat Oncol, Grad Sch Med, Yokohama, Kanagawa, Japan
Shonan Kamakura Gen Hosp, Kamakura, Kanagawa, JapanYokohama City Univ, Dept Oncol, Grad Sch Med, Yokohama, Kanagawa, Japan
机构:
Natl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Iwasaki, Toshimitsu
Nara, Satoshi
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Natl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Nara, Satoshi
Kishi, Yoji
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Natl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Kishi, Yoji
Esaki, Minoru
论文数: 0引用数: 0
h-index: 0
机构:
Natl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Esaki, Minoru
Shimada, Kazuaki
论文数: 0引用数: 0
h-index: 0
机构:
Natl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Shimada, Kazuaki
Hiraoka, Nobuyoshi
论文数: 0引用数: 0
h-index: 0
机构:
Natl Canc Ctr, Div Pathol & Clin Labs, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
机构:
Rene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, FranceRene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, France
Barret, Maximilien
Rahmi, Gabriel
论文数: 0引用数: 0
h-index: 0
机构:
Rene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, FranceRene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, France
Rahmi, Gabriel
van Huyen, Jean-Paul Duong
论文数: 0引用数: 0
h-index: 0
机构:
Rene Descartes Paris V Med Univ, Dept Pathol, Georges Pompidou European Hosp, F-75015 Paris, FranceRene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, France
van Huyen, Jean-Paul Duong
Landi, Bruno
论文数: 0引用数: 0
h-index: 0
机构:
Rene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, FranceRene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, France
Landi, Bruno
Cellier, Christophe
论文数: 0引用数: 0
h-index: 0
机构:
Rene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, FranceRene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, France
Cellier, Christophe
Berger, Anne
论文数: 0引用数: 0
h-index: 0
机构:
Rene Descartes Paris V Med Univ, Dept Abdominal Surg, Georges Pompidou European Hosp, F-75015 Paris, FranceRene Descartes Paris V Med Univ, Dept Gastroenterol, Georges Pompidou European Hosp, F-75015 Paris, France
机构:
Virginia Mason Med Ctr, Sect Gen Vasc & Thorac Surg, 1100 Ninth Ave,CS-G6, Seattle, WA 98101 USAVirginia Mason Med Ctr, Sect Gen Vasc & Thorac Surg, 1100 Ninth Ave,CS-G6, Seattle, WA 98101 USA
Bonds, Morgan
Rocha, Flavio G.
论文数: 0引用数: 0
h-index: 0
机构:
Virginia Mason Med Ctr, Sect Gen Vasc & Thorac Surg, 1100 Ninth Ave,CS-G6, Seattle, WA 98101 USA
Univ Washington, Seattle, WA 98195 USAVirginia Mason Med Ctr, Sect Gen Vasc & Thorac Surg, 1100 Ninth Ave,CS-G6, Seattle, WA 98101 USA
机构:
Yokohama City Univ, Dept Oncol, Grad Sch Med, Yokohama, Kanagawa, JapanYokohama City Univ, Dept Oncol, Grad Sch Med, Yokohama, Kanagawa, Japan
Ichikawa, Yasushi
Kobayashi, Noritoshi
论文数: 0引用数: 0
h-index: 0
机构:
Yokohama City Univ, Dept Oncol, Grad Sch Med, Yokohama, Kanagawa, JapanYokohama City Univ, Dept Oncol, Grad Sch Med, Yokohama, Kanagawa, Japan
Kobayashi, Noritoshi
论文数: 引用数:
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机构:
Takano, Shoko
论文数: 引用数:
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机构:
Kato, Ikuma
Endo, Keigo
论文数: 0引用数: 0
h-index: 0
机构:
Kyoto Coll Med Sci, Kyoto, JapanYokohama City Univ, Dept Oncol, Grad Sch Med, Yokohama, Kanagawa, Japan
Endo, Keigo
Inoue, Tomio
论文数: 0引用数: 0
h-index: 0
机构:
Yokohama City Univ, Dept Radiat Oncol, Grad Sch Med, Yokohama, Kanagawa, Japan
Shonan Kamakura Gen Hosp, Kamakura, Kanagawa, JapanYokohama City Univ, Dept Oncol, Grad Sch Med, Yokohama, Kanagawa, Japan
机构:
Natl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Iwasaki, Toshimitsu
Nara, Satoshi
论文数: 0引用数: 0
h-index: 0
机构:
Natl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Nara, Satoshi
Kishi, Yoji
论文数: 0引用数: 0
h-index: 0
机构:
Natl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Kishi, Yoji
Esaki, Minoru
论文数: 0引用数: 0
h-index: 0
机构:
Natl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Esaki, Minoru
Shimada, Kazuaki
论文数: 0引用数: 0
h-index: 0
机构:
Natl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Shimada, Kazuaki
Hiraoka, Nobuyoshi
论文数: 0引用数: 0
h-index: 0
机构:
Natl Canc Ctr, Div Pathol & Clin Labs, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Hepatobiliary & Pancreat Surg Div, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan