Adenocarcinoma of the Minor Duodenal Papilla: Report of a Case
| Autor: | Yasutaka Aoki, Tomoya Abe, Kazuhiro Takami, Takatomi Oku, Tsuyoshi Tominaga, Takuya Moriya, Tetsuya Miseki, Takahiro Kamiga |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Endoscopic ultrasound
medicine.medical_specialty medicine.medical_treatment Minor duodenal papilla Adenocarcinoma Gastroenterology stomatognathic system Accessory pancreatic duct Submucosa Internal medicine medicine Published: April 2011 lcsh:RC799-869 medicine.diagnostic_test integumentary system business.industry urogenital system medicine.disease Pancreaticoduodenectomy Major duodenal papilla medicine.anatomical_structure lcsh:Diseases of the digestive system. Gastroenterology Duodenal cancer business |
| Zdroj: | Case Reports in Gastroenterology Case Reports in Gastroenterology, Vol 5, Iss 1, Pp 172-178 (2011) |
| ISSN: | 1662-0631 |
| Popis: | An 81-year-old male was found to have a duodenal tumor by screening upper gastrointestinal endoscopy. The tumor was located in the minor duodenal papilla. Pathological examination of the biopsy specimen revealed adenocarcinoma, and endoscopic ultrasound showed an elevated hypoechoic mass in the minor duodenal papilla. The preoperative diagnosis was therefore considered to be either adenocarcinoma of the minor duodenal papilla or duodenal cancer. We performed a subtotal stomach-preserving pancreaticoduodenectomy. Histopathological examination of the resected specimen showed the tumor cells to be primarily located in the submucosa of the minor duodenal papilla, with slight invasion into the pancreatic parenchyma through the accessory pancreatic duct. We therefore diagnosed a primary adenocarcima of the minor duodenal papilla. Adenocarcinoma of the minor duodenal papilla is considered to be a rare disease, but it may be underestimated because of the difficulty in distinguishing advanced adenocarcinoma of the minor duodenal papilla from primary duodenal cancer and cancer of the pancreatic head. |
| Databáze: | OpenAIRE |
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