Yamaguchi Medical Journal
Online ISSN : 1880-4462
Print ISSN : 0513-1731
ISSN-L : 0513-1731
Case Reports
A Case of Duodenal Carcinoma Treated by Surgery and Adjuvant Therapy with Gemcitabine.
Munetaka NAKAMURA, Jun NISHIKAWA, Shu KIYOTOKI, Mari SAITO, Kouichi HAMABE, Takeshi OKAMOTO, Takahiro YAMASAKI, Kazuhiko SAKAMOTO, Masaaki OKA, Toshikazu GONDO, Isao SAKAIDA
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2011 Volume 60 Issue 1+2 Pages 5-10

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Abstract
We report a rare case of duodenal carcinoma treated by surgery. A 70-year-old level woman presented blacky stool and vomiting. Esophagogastroduodenoscopy revealed stenosis of duodenum, and she was referred to our hospital for further examination and treatment. Abdominal computed tomography scanning showed a mass that was located in the 2nd portion of the duodenum. Pathological examination by endoscopic biopsy revealed adenocarcinoma. Pancreatoduodenectomy was performed and histological diagnosis was primary duodenal adenocarcinoma. Although we added adjuvant chemotherapy by gemcitabine, metastatic lesions were found in the lung, liver and peritonium 13 months after surgery.
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