Title Alternative |
A case of mucinous adenocarcinoma of the duodenum and literature review of 16 cases reported in Japan
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FullText URL |
128_21.pdf
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Author |
Hamano, Ikumi|
Matsumoto, Yusuke|
Endo, Yoshikatsu|
Watanabe, Naoki|
Kai, Kyouhei|
Sato, Shizou|
Wani, Yoji|
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Abstract |
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.
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Keywords |
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)
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Publication Title |
岡山医学会雑誌
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Published Date |
2016-04-01
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Volume |
volume128
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Issue |
issue1
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Start Page |
21
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End Page |
25
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ISSN |
0030-1558
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Related Url |
isVersionOf https://doi.org/10.4044/joma.128.21
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language |
日本語
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Copyright Holders |
Copyright (c) 2016 岡山医学会
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File Version |
publisher
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DOI |
10.4044/joma.128.21
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NAID |
130005149602
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