A CASE OF POORLY DIFFERENTIATED ADENOCARCINOMA OF THE DUODENAL BULB

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  • 十二指腸球部に発生した低分化腺癌の1例

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Abstract

We report a rare case of poorly differentiated adenocarcinoma of the duodenum in a 53-year-old man. The patient was admitted to our hospital because of 15kg weight loss in half a year. Barium meal study and gastric endoscopy examination revealed a Borrmann 2 type tumor in the duodenal bulb. Histological diagnosis of the biopsy specimen was adenocarcinoma. After the preoperative examination showed a tumor confined to the duodenal wall but no lymph node metastasis, we performed distal gastrectomy and partial duodenectomy with D2 lymph node dissection. The resected specimen contained a 60×35mm ulcerated tumor, and the pathologic examination revealed a poorly differentiated adenocarcinoma invading to the serosa with lymph nodes metastases.<BR>We reviewed the case of 21 Japanese patients with poorly differentiated adenocarcinoma of the duodenum and analyzed the clinicopathologic features.

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