A CASE OF ADENOENDOCRINE CELL CARCINOMA OF THE PAPILLA OF VATER
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- OSAWA Akihiro
- Department of Surgery, Toho University Ohashi Medical Center
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- WATANABE Manabu
- Department of Surgery, Toho University Ohashi Medical Center
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- ASAI Koji
- Department of Surgery, Toho University Ohashi Medical Center
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- MATSUKIYO Hiroshi
- Department of Surgery, Toho University Ohashi Medical Center
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- SAITO Tomoaki
- Department of Surgery, Toho University Ohashi Medical Center
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- NAGAO Jiro
- Department of Surgery, Toho University Ohashi Medical Center
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- TAKAHASHI Kei
- Department of Pathology, Toho University Ohashi Medical Center
Bibliographic Information
- Other Title
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- 十二指腸乳頭部腺内分泌細胞癌の1例
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Abstract
A 64-year-old woman was admitted to the hospital with a diagnosis of obstructive jaundice. Abdominal ultrasonography, CT scan, upper gastrointestinal endoscopy, and ERCP provided the diagnosis of obstructive jaundice due to a tumorous lesion of the papilla of Vater. As a result of a biopsy, carcinoma of the papilla of Vater was diagnosed. After relief of obstructive jaundice by EBD, subtotal stomach-preserving pancreatoduodenectomy was performed. The histopathological diagnosis was adenoendocrine cell carcinoma.<BR>A total of 10 cases of adenoendocrine cell carcinoma of the duodenum, including our case, have been reported in the Japanese literature. The disease has a high grade malignant potential and carries an extremely poor prognosis even curative resection followed by adjuvant chemotherapy is performed. In this case hepatic metastasis has already been confirmed at the time of operation. Oral administration of S-1 as postoperative adjuvant chemotherapy failed to suppress the gradual progress of the disease, and the patient died 14 months after the operation. We here present this case of adenoendocrine cell carcinoma of the papilla of Vater, together with a review of the Japanese literature.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 71 (1), 109-113, 2010
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390282679825437696
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- NII Article ID
- 130004517403
- 10026667717
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed