[A case of peritoneal dissemination from mucinous carcinoma of the duodenum, which was associated with tumor thrombosis in the accessory pancreatic duct and successfully treated by chemotherapy].
A 72-year-old woman was admitted with an abdominal tumor, which had been detected by computed tomography scanning. Endoscopic examination of the upper gastrointestinal tract revealed a type 3 tumor in the descending limb of the duodenum. A diagnosis of adenocarcinoma was made on the basis of the histological analysis of the biopsy sample. Pancreatoduodenectomy was performed, and peritoneal dissemination was confirmed at surgery. The pathological findings indicated primary duodenal cancer (mucinous carcinoma) associated with tumor thrombosis in the accessory pancreatic duct. Postoperative chemotherapy was performed. Carcinomatous peritonitis was controlled and the patient showed long-term survival.
Okumura
Fumihiro
F
Department of Gastroenterology, Kasugai Municipal Hospital, Japan.
Senoo
Kyoji
K
Yoshida
Michihiro
M
Miyabe
Katsuyuki
K
Naito
Itaru
I
Tanaka
Hajime
H
Hayashi
Kazuki
K
Ando
Tomoaki
T
Nakazawa
Takahiro
T
Ohara
Hirotaka
H
Hamaguchi
Katsura
K
Kanai
Michio
M
Ito
Kazuyuki
K
Joh
Takashi
T
D002288:Adenocarcinoma, Mucinous / Q000188:drug therapy / Q000473:pathology*; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D004379:Duodenal Neoplasms / Q000188:drug therapy / Q000473:pathology*; D005260:Female; D006801:Humans; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D010183:Pancreatic Ducts / Q000473:pathology*; D010534:Peritoneal Neoplasms / Q000556:secondary*