早期胃癌に十二指腸カルチノイドが併存した1切除例  [in Japanese] A Case Report of Duodenal Carcinoid Tumor Associated with Early Gastric Cancer  [in Japanese]

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Author(s)

    • 川野 陽一 Kawano Youichi
    • 日本医科大学大学院医学研究科臓器病態制御外科学 Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine
    • 進士 誠一 Shinji Seiichi
    • 日本医科大学大学院医学研究科臓器病態制御外科学 Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine
    • 内藤 善哉 Naito Zenya
    • 日本医科大学大学院医学研究科統御機構病理学 Integrative Pathology, Nippon Medical School, Graduate School of Medicine
    • 田尻 孝 Tajiri Takashi
    • 日本医科大学大学院医学研究科臓器病態制御外科学 Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine
    • 秋丸 琥甫 Akimaru Koho
    • 日本医科大学大学院医学研究科臓器病態制御外科学 Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine
    • 徳永 昭 Tokunaga Akira
    • 日本医科大学大学院医学研究科臓器病態制御外科学 Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine
    • 内田 英二 Uchida Eiji
    • 日本医科大学大学院医学研究科臓器病態制御外科学 Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine
    • 吉行 俊郎 Yoshiyuki Toshiro
    • 日本医科大学大学院医学研究科臓器病態制御外科学 Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine
    • 吉田 寛 Yoshida Hiroshi
    • 日本医科大学大学院医学研究科臓器病態制御外科学 Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine
    • 真々田 裕宏 Mamada Yasuhiro
    • 日本医科大学大学院医学研究科臓器病態制御外科学 Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine
    • 谷合 信彦 Taniai Nobuhiko
    • 日本医科大学大学院医学研究科臓器病態制御外科学 Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine

Abstract

A rare case of carcinoid tumor in the duodenal bulb associated with early gastric carcinoma is reported. An 85-year-old asymptomatic male was admitted to our hospital, referred by his neighboring doctor because of early gastric carcinoma shown by endoscopic examination. X-ray studies of the upper gastrointestinal tract showed irregular lesser curvature of the gastric antrum and a filling defect (&phis;1 cm) at the duodenal bulb. Gastric biopsy revealed the histological findings of Group V. Distal gastrectomy including the duodenal bulb with D2 lymph node dissection was performed. A resected specimens showed superficial depressed type carcinoma at the lesser curvature of the antrum, and an isolated submucosal tumor of 7×7 mm in size at the duodenal bulb. Histological examination disclosed papillary adenocarcinoma in the gastric mucosa and a carcinoid tumor of the duodenal bulb in the submucosal layer without high malignant findings. The patient has been well for 5 years since the surgery. In conclusion, we discussed 46 collected cases of carcinoid tumor of the duodenum associated with gastric carcinoma in Japan. Preoperative diagnosis of carcinoid tumor of the duodenum is very difficult, and thorough examinations are needed for submucosal lesion.<br>

Journal

  • Journal of Nippon Medical School

    Journal of Nippon Medical School 71(3), 198-202, 2004

    The Medical Association of Nippon Medical School

Codes

  • NII Article ID (NAID)
    130004057274
  • Text Lang
    JPN
  • ISSN
    1345-4676
  • Data Source
    J-STAGE 
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