Duodenal Lymphagiectasia Due to Lymphatic Invasion by Common Bile Duct Cancer, Report of a Case Rie Yoshimura 1,2 1Department of Medicine and Bioregulatory Science, Graduate School of Medical Science, Kyushu University Keyword: 胆管癌 , リンパ管侵襲 , リンパ管拡張 , 十二指腸 pp.1850-1854
Published Date 2003/12/25
DOI https://doi.org/10.11477/mf.1403100714
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 A 73 year-old man was referred to our hospital for further investigation of a common bile duct tumor. A series of examinations revealed that the tumor was common bile duct cancer with metastasis to the regional lymph nodes and distal organs. Gastroduodenal endoscopy showed that there were many round, flat-elevated lesions with scattered white speckles and red spots on their surfaces extending from the duodenal bulb to the descending portion. A biopsy specimen of the duodenal tumors revealed that there were markedly distended lymphatic vessels filled with poorly differentiated adenocarcinoma cells in the mucosa and lamina propria. This finding suggested that the white-speckled appearance of the elevated lesions was due to lymphatic embolism of the bile duct cancer. A lymphatic metastatic cancer lesion may cause such lymphangiectasia, so biopsies of it should be carried out carefully.

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