title: [Duodenal adenocarcinoma in celiac disease with late diagnosis and treatment].
abstract: It seems to be a link between small intestine cancer and celiac disease. We describe here a patient who developed a duodenal carcinoma fifteen years after the celiac disease diagnosis. Tumor endoscopic study and biopsy sampling are the more useful diagnostic approach. This is usually difficult because the lesion is very small or there are rests of food biding the lesion. Poor clinical layout and a later diagnosis favour the development of metastasis. A wide segmental resection including lymph nodes is the best therapy for tumors of the second and third duodenal segments.
authors.affiliation: Hospital Universitario Virgen Macarena, Departamento de Cirugía, Universidad de Sevilla.
authors.forename: A L
authors.initials: AL
authors.lastname: Nogales-Muñoz
authors.forename: M
authors.initials: M
authors.lastname: Naranjo-Capitán
authors.forename: J L
authors.initials: JL
authors.lastname: Méndez-Mora
authors.forename: R
authors.initials: R
authors.lastname: Balongo-García
authors.forename: J M
authors.initials: JM
authors.lastname: Pacheco-García
authors.forename: J M
authors.initials: JM
authors.lastname: Ortega-Beviá
authors.forename: J
authors.initials: J
authors.lastname: Cantillana-Martínez
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002446:Celiac Disease / Q000150:complications*; D004379:Duodenal Neoplasms / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D013997:Time Factors