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題名 | Adenosquamous Carcinoma of the Duodenum Presented with Obstructive Jaundice: Report of a Case=十二指腸的鱗狀上皮腺癌併發阻塞性黃疸:一病例報告 |
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作者 | 許朝偉; 林淳榮; 鄭隆賓; 曾振輝; 陳澤卿; Hsu, Chao-wei; Lin, Chun-jung; Jeng, Long-bin; Tseng, Jeng-hwei; Chen, Tse-ching; |
期刊 | 中華民國消化系醫學雜誌 |
出版日期 | 20000300 |
卷期 | 17:1 2000.03[民89.03] |
頁次 | 頁8-14 |
分類號 | 416.243 |
語文 | eng |
關鍵詞 | 鱗狀上皮腺癌; 十二指腸; 胰臟及十二指腸切除術; Adenosquamous carcinoma; Duodenum; Pancreaticoduodenectomy; |
中文摘要 | 十二指腸的鱗狀上皮腺癌是相當罕見的腫瘤,一位69歲男性患者從外院診斷疑似十 二指腸惡性癌併發阻塞性黃疸而轉介到本院治療。經過一系列檢查,包括上消化道內視鏡、 超音波、十二指腸攝影、電腦斷層攝影、內視鏡超音波以及核磁共振膽胰攝影、發現在十二 指腸有一大的潰瘍性腫瘤並侵犯膽囊及胰臟。經過胰臟及十二指腸切除與膽囊切除,證實為 十二指腸潰瘍性腫瘤侵犯膽囊及胰臟且病理報告亦顯示為十二指腸鱗狀上皮腺癌侵犯上述組 織。術後,病患順利出院,術後 110 天不幸死於肺炎。 |
英文摘要 | A rare case of adenosquamous carcinoma of the duodenum is reported. A 69 year-old man was referred to our hospital for treatment of suspected duodenal tumor complicated with obstructive jaundice. A serial studies of image. including endoscopy, abdominal ultrasonography, hypotonic duodenography, abdominal computed tomography, endoscopic ultrasonography and magnetic resonance cholangiopancreutography, demonstrated a giant ulcerative tumor involving the duodenum, gallbladder and pancreatic capsule. Pancreaticoduodenectomy and cholecystectomy were performed for the rare advanced malignancy. Macroscopically, a huge ulcerative mass with perforation at the second portion of the duodenum which extended into gallbladder and adhered to pancreas was seen. Microscopic examination revealed adenosquamous carcinoma of the duodenum with invasion to gallbladder and pancreatic capsule. The patient tolerated the operation well; out the general condition deteriorated and he died of pneumonia and sepsis 110 days after operation. |
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