Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2008-5-2
pubmed:abstractText
A 70-year-old man was admitted to our institution due to aggravation of blood-sugar level control and because an abdominal CT showed dilatation of the main pancreatic duct. Upper gastrointestinal endoscopy revealed a flat elevated tumor with central ulceration in the second portion of the duodenum. Subsequent duodenoscopy for a more detailed examination showed that the tumor had originated in the minor duodenal papilla. A biopsy specimen showed moderately differentiated adenocarcinoma. Endoscopic retrograde pancreatography via the major duodenal papilla revealed a slightly dilated main pancreatic duct and obstruction of the accessory pancreatic duct. Endoscopic ultrasonography showed a hypoechoic mass in the minor duodenal papilla with retention of the muscularis propria of the duodenum. These findings suggest that the tumor existed only to a limited extent in the minor duodenal papilla, and that the tumor did not infiltrate into the pancreas. For treatment, pylorus-preserving pancreatoduodenectomy was performed, and histological findings revealed a well-differentiated adenocarcinoma that originated in the minor duodenal papilla. Primary adenocarcinoma of the minor duodenal papilla is extremely rare. Our case is the first report of primary adenocarcinoma of the minor duodenal papilla at an early stage with no infiltration into muscularis propria of the duodenum and pancreas.
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-10228789, http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-11677480, http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-11818939, http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-12826909, http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-14745396, http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-15758929, http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-1716233, http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-2471581, http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-2865941, http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-2885079, http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-3673996, http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-8175122, http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-8495831, http://linkedlifedata.com/resource/pubmed/commentcorrection/18452274-9852458
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0513-5796
pubmed:author
pubmed:issnType
Print
pubmed:day
30
pubmed:volume
49
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
333-6
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:year
2008
pubmed:articleTitle
Primary adenocarcinoma of the minor duodenal papilla.
pubmed:affiliation
Department of Internal Medicine 2, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima City, Fukushima 960-1295, Japan.
pubmed:publicationType
Journal Article, Case Reports