Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology · 2006
[A case of primary duodenal cancer near the papilla of Vater which had initial symptoms of obstructive jaundice].
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Kameyama Takeharu, Yasunaga Yuichi, Kizu Takashi, Miyoshi Rika, Watanabe Chie, Yamamoto Shunsuke, Matsumoto Yumi, Inui Yoshiaki, Hayashi Nobuyasu, Fukuchi Nariaki, Hasuike Yasunori, Koshino Tsukasa, Izumiyama Kazutaka, Kohro Takashi, Nishikawa Masahiro
Аннотация
A 63-year-old man visited our hospital complaining of brown urine. A physical examination showed jaundice of the skin and conjunctiva bulbar. Blood tests showed elevated serum levels of bilirubin and hepatobiliary enzymes. A type 2-like mass lesion was found near the papilla of Vater during the endoscopic retrograde cholangiopancreatography and was histologically proven to be a well-differentiated adenocarcinoma. A diagnosis of obstructive jaundice due to primary duodenal cancer arising near the papilla of Vater was made. After the jaundice was decreased by endoscopic biliary stenting, a pancreatoduodenectomy was performed. A histopathological examination of the resected specimen concerning the location and manner of invasion of cancer cells revealed that the cancer arose from the duodenal mucosa near the papilla of Vater.