A CASE OF DUODENAL ADENOCARCINOMA OF THE THIRD PORTION

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  • AOYAGI Haruhiko
    Department of Surgical Oncology, Tokyo Medical and Dental University, Guraduate School of Medicine
  • HIGUCHI Tetsuro
    Department of Surgical Oncology, Tokyo Medical and Dental University, Guraduate School of Medicine
  • YOSHIMURA Tetsunori
    Department of Surgical Oncology, Tokyo Medical and Dental University, Guraduate School of Medicine
  • YASUNO Masamichi
    Department of Surgical Oncology, Tokyo Medical and Dental University, Guraduate School of Medicine
  • ARII Shigeki
    Department of Hepato-Biliary-Pancreatic Surgery, Tokyo Medical and Dental University, Guraduate School of Medicine
  • SUGIHARA Kenichi
    Department of Surgical Oncology, Tokyo Medical and Dental University, Guraduate School of Medicine

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  • 治癒切除をした十二指腸水平部癌の１例

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Abstract

We report a rare case of primary duodenal adenocarcinoma of the third portion.<BR>A 57-year-old man was admitted due to vomiting. An abdominal CT scan revealed wall thickening of the third portion of the duodenum. The barium meal examination of the upper GI tract and endoscopy of the duodenum showed stenosis and a circular tumor of the third portion of the duodenum, and biopsy disclosed moderately differentiated adenocarcinoma.<BR>Pancreatoduodenectomy with regional lymph node dissection (R0 resection) was performed. Histological examination disclosed that the tumor was moderately differentiated adenocarcinoma invading through the subserosa to the peri-duodenal fat tissue with lymph node metastasis.

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