Four cases of advanced duodenal bulb cancer.

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  • 十二指腸球部進行癌の４例

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Abstract

We experienced four cases of advanced duodenal bulb cancer which is relatively rare. Chief complaints of the cases were upper abdominal mass in two cases, icterus and shortness of breath in each one case, and there were few gastrointestinal symptoms. Operative procedures included pancreatoduodenectomy in two cases, distal gastrectomy and duodenal bulb resection in one case, and gastrojejunostomy in one case. All three patients whose tumors were resected had type 3 carcinoma, with microscopic invasion depths of ss, as and si, respectively. Histologic types were tub2 in two cases, pap and muc in each one case, that were relatively well differentiated types. Radical operation was difficult for all the patients because they had advanced P, H, and H factors, and consequently there were no survivors for more than 2 years.

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