閉塞性黄疸を合併した十二指腸原発悪性平滑筋芽細胞腫の1例

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  • A CASE OF MALIGNANT DUODENAL LEIOMYOBLASTOMA PRESENTING OBSTRUCTIVE JAUNDICE

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A 72-year-old man was admitted to the hospital because of abdominal pain and distention. Upper gastrointestinal barium study and gastroduodenoscopy revealed a submucosal tumor in the second portion of the duodenum. Angiography showed hypervascularity of the lesion. In the clinical course the patient suffered from obstructive jaundice due to stenosis of the middle portion of the common bile duct caused by the tumor. Pancreaticoduodenectomy was performed under a diagnosis of duodenal leiomyosarcoma. The histopathological diagnosis was duodenal leiomyoblastoma. He died of liver metastasis 11 months postoperatively. To our knowledge, this is the 20th case of duodenal leiomyoblastoma reported in the Japanese literatute.

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