閉塞性黄疸にて発症した傍乳頭部原発十二指腸癌の1例 A case of primary duodenal cancer near the papilla of Vater which had initial symptoms of obstructive jaundice

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症例は63歳男性.主訴は褐色尿.皮膚·眼球結膜黄染,ビリルビン·肝胆道系酵素の上昇を認め入院.内視鏡的逆行性胆道造影時傍乳頭部に2型様腫瘤を認め,生検にて高分化型腺癌と判明,傍乳頭部原発十二指腸癌による閉塞性黄疸と診断した.胆道ステント留置により減黄後,膵頭十二指腸切除術を施行した.切除標本における癌細胞の所在·浸潤様式から病理組織学的にも傍乳頭部十二指腸粘膜原発と考えられた.<br>

A 63-year-old man visited our hospital complaining of brown urine. A physical examination showed jaundice of the skin and conjunctiva bulbar. Blood tests showed elevated serum levels of bilirubin and hepato-biliary enzymes. A type 2-like mass lesion was found near the papilla of Vater during the endoscopic retrograde cholangiopancreatography and was histologically proven to be a well-differentiated adenocarcinoma. A diagnosis of obstructive jaundice due to primary duodenal cancer arising near the papilla of Vater was made. After the jaundice was decreased by endoscopic biliary stenting, a pancreatoduodenectomy was performed. A histopathological examination of the resected specimen concerning the location and manner of invasion of cancer cells revealed that the cancer arose from the duodenal mucosa near the papilla of Vater.<br>

収録刊行物

  • 日本消化器病學會雜誌 = The Japanese journal of gastro-enterology  

    日本消化器病學會雜誌 = The Japanese journal of gastro-enterology 103(6), 636-642, 2006-06-05 

    The Japanese Society of Gastroenterology

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各種コード

  • NII論文ID(NAID)
    10018364817
  • NII書誌ID(NCID)
    AN00192124
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    04466586
  • データ提供元
    CJP書誌  J-STAGE 
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