Early Duodenal Cancer, Reporf of a Case S. Maeda 1 , T. Sato 1 , N. Kamiya 2 , Y. Nimura 3 , N Nakashima 4 1Department of Surgery, Yachiyo Hospital 2Department of Internal Medicine, Yachiyo Hospital 3The First Department of Surgery, Nagoya University School of Medicine 4Department of Clinical Pathology, Nagoya University Hospital pp.1083-1087
Published Date 1980/10/25
DOI https://doi.org/10.11477/mf.1403112825
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 A 45 year-old man, who had the left lower abdominal pain since a few years was seen with a complaint of tarry stool.

 Upper GI series showed the dilatation of the duodenum at the third portion. Hypotonic duodenography showed a nodular elevated lesion invaginating into the third portion of the duodenum from the inferior duodenal flexus. Duodenofiberscopy demonstrated the normal papilla vateri and a polypoid lesion at the infrapapillary part. The biopsy specimen revealed adenoma histologically.

 The partial duodenectomy was performed. Macroscopically, the tumor was papillary pedunculated polyp, 35×25×18 mm in size.

 Histologically the tumor was well-differentiated papillary adenocarcinoma and infiltrated into the core of the stalk.

 Early duodenal cancer is extremely rare. This case is the second report of early infrapapillary duodenal cancer in Japan.

Copyright © 1980, Igaku-Shoin Ltd. All rights reserved.


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