Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

原発性十二指腸粘液癌の一例― 本邦報告16例の検討―

浜野 郁美 姫路赤十字病院 外科
松本 祐介 姫路赤十字病院 外科
遠藤 芳克 姫路赤十字病院 外科
渡邊 直樹 姫路赤十字病院 外科
甲斐 恭平 姫路赤十字病院 外科
佐藤 四三 姫路赤十字病院 外科
和仁 洋治 姫路赤十字病院 病理診断科
Thumnail 128_21.pdf 8.16 MB
抄録
 Primary mucinous adenocarcinoma of the duodenum is rare. Here we report a case we recently encountered, and we review 16 cases reported in Japan. An 82-year-old Japanese woman was admitted to our hospital complaining of abdominal pain and heartburn. An endoscopic examination revealed a Type 2 tumor in the descending limb of the duodenum, and endoscopically obtained specimens revealed a poorly differentiated adenocarcinoma. We performed a curative pancreatoduodenectomy with lymph node resection, and the surgical specimen revealed that the duodenum was the primary site of the mucinous adenocarcinoma. The patient is currently alive > 1 year after the operation without any evidence of recurrence. Of the 16 patients reviewed, all patients had advanced tumors those depth were T3-T4. 9 patients had lymph node metastasis and 4 patients had peritoneal dissemination at the time of surgery. Since mucinous adenocarcinoma of the duodenum is often progressive cancer at a diagnosis, which is tend to have a worse prognosis than other histological types.
キーワード
原発性十二指腸癌(primary duodenal cancer)
粘液癌(mucinous carcinoma)
膵頭十二指腸切除(pancreatoduodenectomy)
備考
症例報告(Case Reports)
ISSN
0030-1558
NCID
AN00032489
DOI
NAID