Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology · 2009
[A case of peritoneal dissemination from mucinous carcinoma of the duodenum, which was associated with tumor thrombosis in the accessory pancreatic duct and successfully treated by chemotherapy].
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Okumura Fumihiro, Senoo Kyoji, Yoshida Michihiro, Miyabe Katsuyuki, Naito Itaru, Tanaka Hajime, Hayashi Kazuki, Ando Tomoaki, Nakazawa Takahiro, Ohara Hirotaka, Hamaguchi Katsura, Kanai Michio, Ito Kazuyuki, Joh Takashi
Аннотация
A 72-year-old woman was admitted with an abdominal tumor, which had been detected by computed tomography scanning. Endoscopic examination of the upper gastrointestinal tract revealed a type 3 tumor in the descending limb of the duodenum. A diagnosis of adenocarcinoma was made on the basis of the histological analysis of the biopsy sample. Pancreatoduodenectomy was performed, and peritoneal dissemination was confirmed at surgery. The pathological findings indicated primary duodenal cancer (mucinous carcinoma) associated with tumor thrombosis in the accessory pancreatic duct. Postoperative chemotherapy was performed. Carcinomatous peritonitis was controlled and the patient showed long-term survival.