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Primary non-Hodgkin's Lymphoma of the Duodenum, Report of a Case Kenji Shinozaki 1 , Kenji Kawamoto 1 , Akihiro Ino 1 1Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University Keyword: 十二指腸悪性リンパ腫 , B細胞性リンパ腫 , 狭窄型 , 低緊張性十二指腸造影 pp.233-238
Published Date 2000/2/25
DOI https://doi.org/10.11477/mf.1403104656
  • Abstract
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 A 63-year-old man was admitted with the complaint of epigastric discomfort and melena. Radiographic and endoscopic findings revealed severe narrowing of the duodenal second portion. The most narrow segment showed ulceration and hemorrhage, and the fiberscope could not pass this area. The other mucosa was intact and swollen. Histology of the biopsy specimen revealed malignant lymphoma.

 Computed tomography showed a duodenal mass with regional lymphadenopathy. Bone marrow aspiration revealed normal marrow. Our patient was treated by pancreatoduodenectomy.

 Although the resected specimen showed a thickening of the duodenal wall, the mucosa, except for the severely narrowed part, was almost intact. Final histological diagnosis was primary non-Hodgkin lymphoma (diffuse, large-sized, B-cell type) of the duodenum. After postoperative chemoradiotherapy, the patient has been alive for four years and two months without recurrence.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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