十二指腸乳頭部のgangliocytic paragangliomaの1例  [in Japanese] A CASE OF GANGLIOCYTIC PARAGANGLIOMA OF THE DUODENAL PAPILLA  [in Japanese]

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Abstract

症例は45歳の男性で,以前より胆石症を指摘されていた.自覚症状はなく,検診にてUGI, GIFを施行し,十二指腸乳頭部に粘膜下腫瘍を指摘された.十二指腸を切開し腫瘍の摘出術を行った.術中所見は, Vater乳頭部に大きさ2.5cmの粘膜下腫瘍があり,表面平滑で発赤びらんはなく,総胆管および膵管は圧排され,乳頭開口部は腫瘍上にみられた.病理所見では,上皮様細胞,神経節様細胞,紡錘形様細胞が認められ, gangliocytic paraganglioma (以下GPと略す)と診断された.本疾患は極めて稀であり,本邦では15例の報告を見るのみである.

A 45-year-old man who had been pointed out cholelithiasis was found out having a submucosal tumor in the duodenal papilla by upper gastrointestinal series and gastrointestinal fiberscope at a medical checkup, though the patient was asymptomatic. The duodenum was incised to extirpate the tumor. During the operation a 2.5cm submucosal tumor in the papilla of Vater was found out, which had a smooth surface and was not associated with reddening or erosion; the tumor compressed the common bile duct and pancreatic duct; and the openning of the papilla existed on the tumor. Histologically epithelioid cells, gangliocytes, and fusiform cells were seen. The tumor was diagnosed with gangliocytic paragangiloma. This disease is so rare that only 15 cases have been reported in Japan so far.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 58(1), 125-129, 1997-01-25

    Japan Surgical Association

References:  15

Cited by:  4

Codes

  • NII Article ID (NAID)
    10008526237
  • NII NACSIS-CAT ID (NCID)
    AN00198696
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03869776
  • Data Source
    CJP  CJPref  J-STAGE 
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