Double Cancer Involving the Doudenal Bulb and the Stomach, Report of a Case Takashi Yamada 1 , Shigeyoshi Kobayashi 1 1The Division of Endoscopy, Prefectural Gifu Hospital Keyword: 十二指腸球部癌 , 胃癌 , 重複癌 pp.217-222
Published Date 1991/2/25
DOI https://doi.org/10.11477/mf.1403102465
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 A 68-year-old woman was admitted to our hospital complaining of anorexia and vomiting. The x-ray and endoscopic examinations of the upper gastrointestinal tract demonstrated an irregular-shaped, depressed lesion in the gastric body and a polypoid lesion in the anterior wall of the doudenal bulb. Biopsy of these lesions led us to make a diagnosis of double cancer involving the doudenal bulb and the stomach. Subtotal gastrectomy, partial duodenetomy and lymph node dissection were performed. Histologically the gastric lesion was signet-ring cell carcinoma which invaded diffusely reaching to the serosal surface, while the duodenal lesion was well differentiated tubular adenocarcinoma which also invaded to the serosal surface.

 Double cancer involving the stomach and the duodenum (excluding the papilla of Vater) is very rare and only 4 cases have been reported so far in Japan.

Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.


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