title: [A case of primary duodenal cancer near the papilla of Vater which had initial symptoms of obstructive jaundice].
abstract: A 63-year-old man visited our hospital complaining of brown urine. A physical examination showed jaundice of the skin and conjunctiva bulbar. Blood tests showed elevated serum levels of bilirubin and hepatobiliary enzymes. A type 2-like mass lesion was found near the papilla of Vater during the endoscopic retrograde cholangiopancreatography and was histologically proven to be a well-differentiated adenocarcinoma. A diagnosis of obstructive jaundice due to primary duodenal cancer arising near the papilla of Vater was made. After the jaundice was decreased by endoscopic biliary stenting, a pancreatoduodenectomy was performed. A histopathological examination of the resected specimen concerning the location and manner of invasion of cancer cells revealed that the cancer arose from the duodenal mucosa near the papilla of Vater.
authors.affiliation: Department of Internal Medicine, Hyogo Prefectural Nishinomiya Hospital.
authors.forename: Takeharu
authors.initials: T
authors.lastname: Kameyama
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Yasunaga
authors.forename: Takashi
authors.initials: T
authors.lastname: Kizu
authors.forename: Rika
authors.initials: R
authors.lastname: Miyoshi
authors.forename: Chie
authors.initials: C
authors.lastname: Watanabe
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Yumi
authors.initials: Y
authors.lastname: Matsumoto
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Inui
authors.forename: Nobuyasu
authors.initials: N
authors.lastname: Hayashi
authors.forename: Nariaki
authors.initials: N
authors.lastname: Fukuchi
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Hasuike
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Koshino
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Izumiyama
authors.forename: Takashi
authors.initials: T
authors.lastname: Kohro
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nishikawa
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D014670:Ampulla of Vater; D004379:Duodenal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D008297:Male; D008875:Middle Aged