A CASE OF PRIMARY DUODENAL TRIPPLE ADENOCARCINOMAS
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- KIKUCHI Tohru
- Department of Gastroenterology, Miyagi Cancer Center.
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- NOGUCHI Tetsuya
- Department of Pathology, Miyagi Cancer Center.
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- KAYABA Yoshiro
- Department of Pathology, Miyagi Cancer Center.
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- SUZUKI Masaki
- Department of Pathology, Miyagi Cancer Center.
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- SUZUKI Shinichi
- Department of Pathology, Miyagi Cancer Center.
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- KAGAYA Hirohumi
- Department of Pathology, Miyagi Cancer Center.
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- TATENO Hiroo
- Department of Pathology, Miyagi Cancer Center.
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- KUWAJIMA Ichirou
- Kuwajima clinic.
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- ONODERA Hiroyoshi
- Department of Gastroenterology, Miyagi Cancer Center.
Bibliographic Information
- Other Title
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- 同時性多発十二指腸癌の1例
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Abstract
The patient is detected in a 53-year-old male. Endoscopic examination revealed two superficial cancers ; a type of flat elevation with central depression (the main lesion) and type IIa in the duodenal bulb. Duodenal X ray examination revealed one more lesion of type ha. Endoscopic ultrasonogram suggested that the main lesion invaded the muscularis propria (MP) and two ha lesions were localized in the mucosal layer (M). Pancreaticoduodenectomy was performed. Three lesions were found discontinuously. Histological examination of the resected specimen showed the main lesion to be papillary adenocarcinoma (mp, ly0, v0) and two ha lesions to be both well differentiated adenocarcinomas (m, ly0, v0). Immunohistochemical examination of human gastric mucins (HGM, MUC6, and MUC2) were performed. The main lesion was HGM (+), MUC6 (+), MUC2 (+). Two ha lesions were (+, +, -), (+, -, +), respectively. We herein reported a very rare case of primary duodenal tripple adenocar-cinomas which occurred simultaneously.
Journal
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- GASTROENTEROLOGICAL ENDOSCOPY
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GASTROENTEROLOGICAL ENDOSCOPY 48 (11), 2632-2638, 2006
Japan Gastroenterological Endoscopy Society
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Details 詳細情報について
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- CRID
- 1390001204217678336
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- NII Article ID
- 130004254929
- 10018755509
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- NII Book ID
- AN00192102
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- ISSN
- 18845738
- 03871207
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed