十二指腸乳頭部腺内分泌細胞癌の2例

• 矢澤 直樹

  東海大学消化器外科

• 今泉 俊秀

  東海大学消化器外科

• 堂脇 昌一

  東海大学消化器外科

• 大谷 泰雄

  東海大学消化器外科

• 飛田 浩輔

  東海大学消化器外科

• 岡田 健一

  東海大学消化器外科

• 松山 正浩

  東海大学消化器外科

• 種田 靖久

  東海大学消化器外科

• 柏木 宏之

  東海大学消化器外科

• 石井 正紀

  東海大学消化器外科

• 杉尾 芳紀

  東海大学消化器外科

• 幕内 博康

  東海大学消化器外科

• 平林 健一

  東海大学病理診断学

書誌事項

タイトル別名

• Two cases of adenoendocrine cell carcinoma in the papilla of Vater

抄録

We here report two cases of adenoendocrine cell carcinoma occurring in the papilla of Vater. Both patients underwent PPPD. Microscopically, tumor cells proliferated in solid nests together with adenocarcinoma component. Immunohistochemical analysis showed positive staining for neuroendocrine markers. Case 1: A 55-yearold man was admitted with a diagnosis of acute pancreatitis. The tumor was pT3, pN2, H0, P0, M (-), fStageIVa He died of multiple liver metastases 5 months after surgery. Case 2: A 72-year-old man was admitted with a diagnosis of acute cholangitis and obstructive jaundice. The tumor was pT3, pN1, H0, P0, M (-), fStageIII. He has not shown any evidence of recurrence 1 year after surgery. Only 5 cases of adenoendocrine carcinoma in the papilla of Vater have been reported in Japan; they have shown extremely poor prognosis with early metastases to either liver or lymph nodes. It is therefore suggested that effective postoperative adjuvant therapy in addition to radical surgery would be necessary.

収録刊行物

• Tando

  Tando 21 (1), 68-74, 2007

  Japan Biliary Association

キーワード

• 腺内分泌細胞癌
• 小細胞癌(内分泌細胞癌)
• 十二指腸乳頭部癌

詳細情報

• CRID: 1390001205465493760
• NII論文ID: 10021276029
• NII書誌ID: AN10062001
• DOI: 10.11210/tando1987.21.1_68
• ISSN: 09140077
• Web Site: https://search.jamas.or.jp/link/ui/2007207302
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可