Internal medicine (Tokyo, Japan) · 2020
Duodenal Obstruction Caused by the Long-term Recurrence of Appendiceal Goblet Cell Carcinoid.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Saito Masashi, Asanuma Kiyotaka, Hatta Waku, Koike Tomoyuki, Hata Tatsuo, Fujishima Fumiyoshi, Furukawa Toru, Unno Michiaki, Masamune Atsushi
Аннотация
A 38-year-old Japanese man who had been diagnosed with appendiceal carcinoid and undergone ileocecal resection 8 years before presented with duodenal obstruction caused by a submucosal tumor-like appearance. He was diagnosed with long-term recurrence of appendiceal goblet cell carcinoid (GCC) with a multi-morphological pattern based on the histological assessment of a duodenal biopsy and his previously resected appendix. He underwent subtotal stomach-preserving pancreaticoduodenectomy combined with resection of an ileo-colic anastomotic lesion. The GCC recurred at the nearby ileo-colic anastomosis and invaded the duodenum. This late recurrence might have resulted from the unique features of his GCC, which contained cells with different degrees of malignancy.