Test your diagnostic skills with the following endoscopic quiz.
An 85-year-old woman presented to the emergency department with epigastric pain and nausea for 2 days. She denied vomiting, fever, or early satiety. The patient stated she had lost 10 pounds over the past 3 months. A CT scan of the abdomen revealed a 1 cm low attenuation lesion in the second portion of the duodenum.
The patient underwent an esophagogastroduodenoscopy (EGD) that confirmed a subepithelial mass (photograph A). The lesion was biopsied (photographs B and C).
1) The endoscopic picture above demonstrates:
a) GIST tumor
b) Intestinal lymphoma
c) Intestinal lymphangiectasia
d) Type II choledocal cyst
2) The next step in treatment for this condition includes:
a) Surgical resection of the lesion
b) Endoscopic mucosal resection
c) Whipple procedure
e) No treatment is needed