title: Real case of primitive embryonal duodenal carcinoma in a young man.
abstract: We report here the case of a young man suffering from a rare germ cell tumour. The patient was a 25-year-old man who was referred to our centre for asthenia, stinging epigastric pain, and an iron deficiency anaemia. Gastroscopy revealed a circumferential vegetating lesion on the second portion of the duodenum. The lesion was indurated at the third portion of the duodenum, responsible for a tight stenosis. A computerized tomography-scan of the chest, abdomen and pelvis, and a pancreatic MRI showed a circumferential lesion with a bi-ductal dilatation (i.e., of the common bile duct and Wirsung's duct) without metastatic localisation. The patient underwent a pancreaticoduodenectomy with lymph node dissection including all cellular adipose tissues of the hepatic pedicle from the hepatic common artery and of the retroportal lamina. Histological findings were suggestive of a duodenal embryonal carcinoma with pancreatic infiltration. This is the second published case highlighting the duodenal primitive localisation of an embryonal carcinoma with pancreatic infiltration.
authors.affiliation: Julien Barbieux, Riccardo Memeo, Vito De Blasi, Jacques Marescaux, Didier Mutter, Patrick Pessaux, Hepato-Biliary and Pancreatic Surgical Unit, IRCAD-IHU, University of Strasbourg, Place de l'Hôpital, 67091 Strasbourg, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Barbieux
authors.affiliation: Julien Barbieux, Riccardo Memeo, Vito De Blasi, Jacques Marescaux, Didier Mutter, Patrick Pessaux, Hepato-Biliary and Pancreatic Surgical Unit, IRCAD-IHU, University of Strasbourg, Place de l'Hôpital, 67091 Strasbourg, France.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Memeo
authors.affiliation: Julien Barbieux, Riccardo Memeo, Vito De Blasi, Jacques Marescaux, Didier Mutter, Patrick Pessaux, Hepato-Biliary and Pancreatic Surgical Unit, IRCAD-IHU, University of Strasbourg, Place de l'Hôpital, 67091 Strasbourg, France.
authors.forename: Vito
authors.initials: V
authors.lastname: De Blasi
authors.affiliation: Julien Barbieux, Riccardo Memeo, Vito De Blasi, Jacques Marescaux, Didier Mutter, Patrick Pessaux, Hepato-Biliary and Pancreatic Surgical Unit, IRCAD-IHU, University of Strasbourg, Place de l'Hôpital, 67091 Strasbourg, France.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Suciu
authors.affiliation: Julien Barbieux, Riccardo Memeo, Vito De Blasi, Jacques Marescaux, Didier Mutter, Patrick Pessaux, Hepato-Biliary and Pancreatic Surgical Unit, IRCAD-IHU, University of Strasbourg, Place de l'Hôpital, 67091 Strasbourg, France.
authors.forename: Vanina
authors.initials: V
authors.lastname: Faucher
authors.affiliation: Julien Barbieux, Riccardo Memeo, Vito De Blasi, Jacques Marescaux, Didier Mutter, Patrick Pessaux, Hepato-Biliary and Pancreatic Surgical Unit, IRCAD-IHU, University of Strasbourg, Place de l'Hôpital, 67091 Strasbourg, France.
authors.forename: Gerlinde
authors.initials: G
authors.lastname: Averous
authors.affiliation: Julien Barbieux, Riccardo Memeo, Vito De Blasi, Jacques Marescaux, Didier Mutter, Patrick Pessaux, Hepato-Biliary and Pancreatic Surgical Unit, IRCAD-IHU, University of Strasbourg, Place de l'Hôpital, 67091 Strasbourg, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Roy
authors.affiliation: Julien Barbieux, Riccardo Memeo, Vito De Blasi, Jacques Marescaux, Didier Mutter, Patrick Pessaux, Hepato-Biliary and Pancreatic Surgical Unit, IRCAD-IHU, University of Strasbourg, Place de l'Hôpital, 67091 Strasbourg, France.
authors.forename: Jacques
authors.initials: J
authors.lastname: Marescaux
authors.affiliation: Julien Barbieux, Riccardo Memeo, Vito De Blasi, Jacques Marescaux, Didier Mutter, Patrick Pessaux, Hepato-Biliary and Pancreatic Surgical Unit, IRCAD-IHU, University of Strasbourg, Place de l'Hôpital, 67091 Strasbourg, France.
authors.forename: Didier
authors.initials: D
authors.lastname: Mutter
authors.affiliation: Julien Barbieux, Riccardo Memeo, Vito De Blasi, Jacques Marescaux, Didier Mutter, Patrick Pessaux, Hepato-Biliary and Pancreatic Surgical Unit, IRCAD-IHU, University of Strasbourg, Place de l'Hôpital, 67091 Strasbourg, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Pessaux
mesh_terms: D000328:Adult; D000740:Anemia / Q000150:complications; D018236:Carcinoma, Embryonal / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003135:Common Bile Duct / Q000601:surgery; D004379:Duodenal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D004386:Duodenum / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009373:Neoplasms, Germ Cell and Embryonal / Q000175:diagnosis* / Q000601:surgery; D010183:Pancreatic Ducts / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000556:secondary / Q000601:surgery; D016577:Pancreaticoduodenectomy; D014057:Tomography, X-Ray Computed
keywords: Duodenum; Embryonal carcinoma; Germ cell tumour; Pancreaticoduodenectomy; Young male