2024-03-29T06:37:59Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02016043
2022-10-31T07:49:13Z
1642838163960:1642838198944:1642838199408:1642838211541
1642838403551:1642838412624
[症例報告]膵頭十二指腸切除術(PD)を要した十二指腸 stromal tumorの1例
A case of duodenal stromal tumor required pancreatoduodenectomy as curative operation
安田, 卓
白石, 祐之
大城, 崇司
友利, 健彦
草野, 敏臣
武藤, 良弘
江川, 春彦
戸田, 隆義
金城, 福則
Yasuda, Takashi
Shiraishi, Masayuki
Oshiro, Takashi
Tomori, Takehiko
Muto, Yoshihiro
Egawa, Haruhiko
Toda, Takayoshi
Kinjo, Fukunori
duodenum
stromal tumor
pancreatoduodenectomy
A case of duodenal stromal tumor (Leiomyosarcoma with low-grade malignancy) in a 45year-old man is herein reported. The patient presented with two episodes of massive melena. Endoscopic examination showed a rare, ulcerative tumor of the duodenum proximal to the duodenal papilla with biopsy finding of leiomyoma. He was referred to the University hospital in May, 1997. Diagnostic modalities (Upper GI series, CT, angiography and MRI) confirmed the tumor. At laparotomy the tumor was tightly adhered to the pancreatic head, which makes it impossible to be removed locally. Subsequently, pancreatoduodenectomy was done with reconstruction using Child's procedure. The tumor was ulcerative, relatively well-defined, and 5.5×5cm in size, protruding over the mucosal surface and into the subserosa. The tumor was diagnosed to be a low-grade leiomyosarcoma by histological and immunohistochemical study. He was uneventfull postoperatively and has been enjoying his normal life.
論文
http://purl.org/coar/resource_type/c_6501
琉球医学会
Ryukyu Medical Association
1998
VoR
1346888X
0289-1530
AN10369445
琉球医学会誌 = Ryukyu Medical Journal
1-2
18
48
45
jpn
open access
琉球医学会