[A case of primary duodenal cancer near the papilla of Vater which had initial symptoms of obstructive jaundice].
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.
Kameyama
Takeharu
T
Department of Internal Medicine, Hyogo Prefectural Nishinomiya Hospital.
Yasunaga
Yuichi
Y
Kizu
Takashi
T
Miyoshi
Rika
R
Watanabe
Chie
C
Yamamoto
Shunsuke
S
Matsumoto
Yumi
Y
Inui
Yoshiaki
Y
Hayashi
Nobuyasu
N
Fukuchi
Nariaki
N
Hasuike
Yasunori
Y
Koshino
Tsukasa
T
Izumiyama
Kazutaka
K
Kohro
Takashi
T
Nishikawa
Masahiro
M
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