A Case of Aberrant Pancreas Cancer in the Jejunum

A 72-year-old man suffering from vomiting with abdominal pain was diagnosed with ileus. A small intesti-nal enema study revealed obstruction of the jejunum by a tumor. Laboratory tests showed elevated CA19-9 of 70U/ml. Under a diagnosis of cancer of the jejunum, we conducted laparotomy and found an...

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Veröffentlicht in:Nippon Shokaki Geka Gakkai zasshi 2001, Vol.34(3), pp.249-253
Hauptverfasser: Uemura, Yoshio, Kobayashi, Kenji, Yoshida, Koji, Seki, Yosuke, Matsuyama, Jin, Aoki, Taro, Ukei, Toshisada, Miyauchi, Keisuke, Kaneko, Tadashi
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container_end_page 253
container_issue 3
container_start_page 249
container_title Nippon Shokaki Geka Gakkai zasshi
container_volume 34
creator Uemura, Yoshio
Kobayashi, Kenji
Yoshida, Koji
Seki, Yosuke
Matsuyama, Jin
Aoki, Taro
Ukei, Toshisada
Miyauchi, Keisuke
Kaneko, Tadashi
description A 72-year-old man suffering from vomiting with abdominal pain was diagnosed with ileus. A small intesti-nal enema study revealed obstruction of the jejunum by a tumor. Laboratory tests showed elevated CA19-9 of 70U/ml. Under a diagnosis of cancer of the jejunum, we conducted laparotomy and found an obstruction of the jejunum about 130cm distal from Treitz's ligament. We partially resected the jejunum, including the 4×3 cm tumor and dissected regional lymph nodes. The tumor was mostly covered with intact jejunal mucosa, re-sembling a submucosal tumor. Histopathologically, the diagnosis was tubular adenocarcinoma adjacent to ab-errant pancreas with acinar cells and pancreatic ducts (Heinrich II type). Regional lymph node involvement was confirmed. Pathological diagnosis showed well-differentiated adenocarcinoma, se, n1, ly2, v0, INFγ. To our knowledge, this is the fifth such case reported in the Japanese literature.
doi_str_mv 10.5833/jjgs.34.249
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subjects aberrant pancreas
adenocarcinoma
jejunum
title A Case of Aberrant Pancreas Cancer in the Jejunum
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