دورية أكاديمية

[An autopsy case report of adenosquamous cell carcinoma of the duodenal papilla with multiple liver and lung metastases].

التفاصيل البيبلوغرافية
العنوان: [An autopsy case report of adenosquamous cell carcinoma of the duodenal papilla with multiple liver and lung metastases].
المؤلفون: Arita K; Department of Internal Medicine, Saitama-Kyodo Hospital., Masuda T, Tanaka H, Kubochi M, Moriya Y, Fukumoto K, Shinobi T, Yoshino H, Ishizu H
المصدر: Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology [Nihon Shokakibyo Gakkai Zasshi] 2013 Sep; Vol. 110 (9), pp. 1649-56.
نوع المنشور: Case Reports; English Abstract; Journal Article
اللغة: Japanese
بيانات الدورية: Publisher: Japanese Society Of Gastroenterology Country of Publication: Japan NLM ID: 2984683R Publication Model: Print Cited Medium: Print ISSN: 0446-6586 (Print) Linking ISSN: 04466586 NLM ISO Abbreviation: Nihon Shokakibyo Gakkai Zasshi Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Tokyo : Japanese Society Of Gastroenterology
مواضيع طبية MeSH: Ampulla of Vater*, Carcinoma, Adenosquamous/*pathology , Duodenal Neoplasms/*pathology , Liver Neoplasms/*secondary , Lung Neoplasms/*secondary, Autopsy ; Humans ; Male ; Middle Aged
مستخلص: A 63-year-old man was admitted to Saitama-Kyodo Hospital for the management of obstructive jaundice. Gastrointestinal endoscopy revealed a tumor of the duodenal papilla, and tumor biopsy suggested adenosquamous cell carcinoma. Computed tomography revealed multiple tumors in both the liver and lung, and these were diagnosed as metastases using bronchoscopy-guided lung biopsy and ultrasound-guided liver biopsy, respectively. The patient was treated with gemcitabine therapy after successful management of the jaundice by percutaneous transhepatic cholangiodrainage. However, he died three months after hospitalization. Autopsy confirmed a tumor of the duodenal papilla that had invaded both the pancreas and bile duct; moreover, multiple liver and lung metastases were observed. The pathological diagnoses were adenosquamous cell carcinoma. Histopathological findings revealed a mixture of adenocarcinoma and squamous cell carcinoma and promotion of multiplication of the adenocarcinoma. Adenosquamous cell carcinoma of the duodenal papilla is rare and preoperative diagnosis is challenging. Our case is unique because biopsy suggested the diagnosis before treatment.
تواريخ الأحداث: Date Created: 20130906 Date Completed: 20140109 Latest Revision: 20200928
رمز التحديث: 20240829
PMID: 24005106
قاعدة البيانات: MEDLINE