早期膀胱癌根治術後に著明な狭窄をきたしたリンパ行性十二指腸転移の1例

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  • A Case of Metastatic Duodenal Carcinoma from the Bladder

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The development of metastasis to the duodenum and of bladder cancer to the intestine is very rare. We report such a case.<BR> A 75–year–old man undergoing total cystectomy 4 years earlier for bladder cancer was admitted for chemotherapy for paraaortic lymph node recurrence.<BR> Upper gastrointestinal endoscopy showed a duodenal bulb ulcer scar and descending duodenum stenosis. The pathological duodenal specimen diagnosis was unresectable adenocarcinoma, i.e., a clinical diagnosis of duodenal carcinoma. Gastrojejunostomy was done to unable oral parenteral nutrition. A hard mass in the descending duodenum and enlarged gastric lymph nodes suggested metastatic transitional cell carcinoma confirmed by immunopathological examination.<BR> The final diagnosis was transitional cell carcinoma of the bladder with duodenum and paraaortic lymph node metastasis.

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