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- W2056552374 abstract "<b><i>Background/Aims:</i></b> Limited data exist regarding the natural history of duodenal carcinoid tumors and the efficacy of endoscopic treatment. <b><i>Methods:</i></b> A total of 27 patients with duodenal carcinoid tumors were enrolled. All tumors were located outside the periampullary region and were ≤10 mm in size. 11 patients underwent endoscopic mucosal resection (EMR) and argon plasma coagulation (APC). 13 patients did not undergo any specific procedure for tumor removal and were followed clinically. <b><i>Results:</i></b> Of 13 patients not undergoing treatment, tumors disappeared in 5 cases during follow-up with diagnostic forceps biopsy. Endoscopically visible lesions remained in the last follow-up endoscopy in 8 patients (61.5%). No lymph node or distant metastases or tumor-related deaths occurred during a median follow-up of 37 months. Of 11 cases treated with EMR, tumor-free resection margins were achieved in 10 cases and no local recurrence occurred after treatment. Two perforations occurred during EMR. Of the 3 cases treated with APC, local recurrence occurred in 1 case. <b><i>Conclusions:</i></b> Given the risks associated with EMR and the likely favorable natural history of small duodenal carcinoid tumors, conservative management with close follow-up may represent a viable alternative to endoscopic treatment, especially in patients with a high risk of perioperative complications." @default.
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- W2056552374 date "2013-01-01" @default.
- W2056552374 modified "2023-10-16" @default.
- W2056552374 title "Management Strategy for Small Duodenal Carcinoid Tumors: Does Conservative Management with Close Follow-Up Represent an Alternative to Endoscopic Treatment?" @default.
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- W2056552374 doi "https://doi.org/10.1159/000349958" @default.
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