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A CASE OF ISLET CELL CARCINOMA OF THE AMPULLA OF VATER OBSERVED BY DUODENAL FIBERSCOPY Kunio Takagi 1 1Cancer Institute Hospital pp.1421-1429
Published Date 1969/11/25
DOI https://doi.org/10.11477/mf.1403110923
  • Abstract
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 The patient, a 39 years old male, after having had several bouts of jaundice and melena, was found to have a shadow defect, as revealed by x-ray examination, in the pars descendens of the duodenum. With concomitant use of X-TV fluoroscopy, a fibergastroscope (FGS-SL, Machida) was inserted under general anesthesia into the pars descendens of the duodenum, so that it was possible for the authors to observe directly a pedunculated tumor having developed in the region of the ampulla of Vater. This case was radically cured by the resection of the pancreatic head and the duodenum, without any sign of glycemia. Histologically the tumor was a non-functional islet cell carcinoma with metastasis to one lymph node near the tumor. Incidentally endoscopy of the duodenum has been discussed.


Copyright © 1969, Igaku-Shoin Ltd. All rights reserved.

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

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