十二指腸へ脱出した胃上皮型cancer in adenomaの1例

• 国原 孝

  王子総合病院外科 北海道大学第2外科

• 高橋 透

  王子総合病院外科

• 水戸 康文

  王子総合病院外科

• 平口 悦朗

  王子総合病院外科 北海道大学第2外科

• 島田 俊史

  王子総合病院外科 北海道大学第2外科

• 加藤 紘之

  北海道大学第2外科

書誌事項

タイトル別名

• A CANCER IN PAPILLARY ADENOMA (GASTRIC EPITHELIAL TYPE) OF THE STOMACH PROLAPSING INTO THE DUODENAL BULB-REPORT OF A CASE

抄録

Recently we experienced a case of cancer in adenoma of the stomach (gastric epithelial type) prolapsing into the duodenum.<br> A 63-year-old woman was admitted to the hospital because of upper abdominal discomfort. Gastric endoscopy revealed an elevated lesion of Yamada type III with the diameter of about 4 cm prolapsing into the duodenum from pylorus ring. Polypectomy with an incision of the pylorus of the stomach was carried out. Intraoperative frozen section diagnosis resulted in adenoma. Postoperative examination, however, indicated papillary adenocarcinoma in adenoma with a possible remnant malignancy in the polypectomy stump. Distal gastrectomy was added.<br> Gastric epithelial type of papillary adenoma which has been reported to represent less than 3% of all gastric adenomas prones to cancer change in a high frequency. This adenoma should be treated accordingto cancers. Reports on an elevated lesion prolapsing into the duodenum are so rare and only 100 cases have been seen in the Japanese literature in a recent 4 decades.

収録刊行物

• 日本臨床外科医学会雑誌

  日本臨床外科医学会雑誌 56 (4), 737-740, 1995

  日本臨床外科学会

キーワード

• 十二指腸脱出胃癌
• 胃上皮型乳頭状腺腫

詳細情報

• CRID: 1390001205316040448
• NII論文ID: 130003599578
• NII論文ID: 10008512740
• NII書誌ID: AN00198696
• DOI: 10.3919/ringe1963.56.737
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/56/4/56_4_737/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1995224640
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