EARLY PRIMARY CARCINOMA OF THE DUODENAL BULB ARISING FROM ECTOPIC GASTRIC MUCOSA

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  • 異所性胃粘膜から発生した十二指腸球部粘膜内癌の1例

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Abstract

An 86-year-old male was admitted to the hospital because of an epigastralgia. A polypoid lesion in the duodenal bulb was revealed by endoscopic examination and was diagnosed as well differentiated adenocarcinoma from biopsy specimen. Surgical polypectomy was performed since the polyp was flat and elevated lesion with the maximum diameter of 25 mm. Histologically, this tumor was considered to be derived from ectopic gastric mucosa in the duodenal bulb. Most duodenal cancers are cancers in adenoma or cancer de novo, and duodenal carcinoma arising from ectopic gastric mucosa is very rare.

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