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A case of duodenal signet-ring cell carcinoma after curative resection for gastric cancer

山口医学 Volume 65 Issue 4 Page 181-185
published_at 2016-11-01
B030065000404.pdf
[fulltext] 1.68 MB
Title
胃癌術後に発生した十二指腸原発印環細胞癌の1手術例
A case of duodenal signet-ring cell carcinoma after curative resection for gastric cancer
Abstract
A 78-year-old man underwent distal partial gastrectomy and Billroth I reconstruction for early gastric cancer in May 1995, then was followed up by us. In March 2005, he was found in upper gastrointestinal endoscopy to have an elevated Isp lesion of the duodenum. Histological examination of biopsy specimens showed on inflammatory polyp and no malignancy. After one year of observation, the lesion became a IIa+IIc lesion in upper gastrointestinal endoscopy. Biopsy specimens showed group V and suspected signet-ring cell carcinoma. After further examination, we conducted partial resection of the duodenum. Macroscopically, the 8×6 mm tumor appeared to be a IIa+IIc lesion located in the second portion of the duodenum. The histological diagnosis was signet-ring cell carcinoma, within the membrane, ly0 and v0. The surgical margin was negative. We conducted curative surgery. He is alive without recurrence almost 10years after the operation. Billroth I reconstruction enabled us to diagnose duodenal cancer early in this case.
Creators Ozasa Hiroaki
Creators Eto Ryuichi
Creators Nakatsu Hiroki
Creators Shimizu Ryoichi
Creators Matoba Katsuhiro
Creators Takahashi Mutsuo
Affiliate Master Yamaguchi University
[kakenhi]15501 grid.268397.1
Source Identifiers [PISSN] 0513-1731 [NCID] AN00243156
Creator Keywords
十二指腸癌 印環細胞癌 胃切除後
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 2016-11-01
File Version Version of Record
Access Rights open access