PMC3813632_01
Endoscopic view of carcinoid tumor of the ampulla of Vater.
amjcaserep-14-439-g001.jpg
PMC3813632_01_amjcaserep-14-439-g001.jpg
f1-amjcaserep-14-439
A papilla that was tumor-like macroscopically was seen in the second part of the duodenum in endoscopic retrograde cholangiopancreatography (ERCP) (Figure 1).
EUS showed a 1.9x1.6 cm sized, hypoecoic lesion.
amjcaserep-14-439-g002.jpg
PMC3813632_01_amjcaserep-14-439-g002.jpg
f2-amjcaserep-14-439
A 1.9x1.6 cm mass was detected on EUS (Figure 2).
Endoscopic snare papillectomy of a neuroendocrine tumor of the ampulla of Vater. (A) Endoscopic view showing snaring of the carcinoid tumor of the ampulla of Vater (B) Endoscopic view showing the base of ampulla after papillectomy (C) Biliary and pancreatic stents (D) ERCP showing biliary and pancreatic stents.
amjcaserep-14-439-g003.jpg
PMC3813632_01_amjcaserep-14-439-g003.jpg
f3-amjcaserep-14-439
Figure 3 shows the endoscopic view of snaring of the carcinoid tumor of the ampulla of Vater, endoscopic view showing the base of the ampulla after papillectomy, biliary and pancreatic stents, and ERCP showing biliary and pancreatic stents. Figure 3A shows the endoscopic view of snaring of the carcinoid tumor of the ampulla of Vater. Figure 3B shows the base of the ampulla after papillectomy, Figure 3C is an endoscopic view of biliary and pancreatic stents, and Figure 3D shows the ERCP of biliary and pancreatic stents.
Pathologic ampullary biopsy section shows tumor cells are rount to irregular pleomorphic nuclei, prominent nucleoli, stippled chromatin and moderate amount of the cytoplasm.
amjcaserep-14-439-g004.jpg
PMC3813632_01_amjcaserep-14-439-g004.jpg
f4-amjcaserep-14-439
Figure 4 shows the pathology specimen.
Appearance of the ampulla after 12 months.
amjcaserep-14-439-g005.jpg
PMC3813632_01_amjcaserep-14-439-g005.jpg
f5-amjcaserep-14-439
The appearance of the ampulla after 12 months is shown in Figure 5.