Duodonal Adenocarcinoma : A Case Report
Kiat, Carlo Joseph G., M.D.
Duodonal Adenocarcinoma : A Case Report
Malignant tumors of the duodenum are extremely uncommon malignant lesions. The annual incidence is between 1.2 cases and 6.5 cases per 1 million persons. The most frequent tumor of the duodenum is adenocarcinoma. This is a case of a 42 year old female who presented with 3 weeks history of jaundice. Whole abdominal CT scan was done and revealed periampullary mass compressing the adjacent distal common duct and pancreatic duct secondary marked extrahepatic biliary obstruction and hydrops. Diagnosis at that time was obstructive jaundice secondary to periampullary mass. Endoscopy was done which showed a nodular growth of the papillary area at the 2nd portion of the duodenum, whipple`s procedure was done to resect the tumor. FInal histopathology result was well differentiated adenocarcinoma, duodenum extending beyond the muscularis propia. Tumor size 2.5 cm, positive for tumor lymphovascular space. Negative for tumor: lines of resection, pancreas, bile duct, (0/5) perigastric lymph node, (0/4) peripancreatic lymph node, (0/7) periintestinal lymp node, AJCC T3aN0Mx. Modern imaging studies and endoscopic procedures can aid in making an earlier diagnosis and thereby may increase the chances for cure with complete resection of the primary tumor.
RES SUR 2012 0001
Duodonal Adenocarcinoma : A Case Report
Malignant tumors of the duodenum are extremely uncommon malignant lesions. The annual incidence is between 1.2 cases and 6.5 cases per 1 million persons. The most frequent tumor of the duodenum is adenocarcinoma. This is a case of a 42 year old female who presented with 3 weeks history of jaundice. Whole abdominal CT scan was done and revealed periampullary mass compressing the adjacent distal common duct and pancreatic duct secondary marked extrahepatic biliary obstruction and hydrops. Diagnosis at that time was obstructive jaundice secondary to periampullary mass. Endoscopy was done which showed a nodular growth of the papillary area at the 2nd portion of the duodenum, whipple`s procedure was done to resect the tumor. FInal histopathology result was well differentiated adenocarcinoma, duodenum extending beyond the muscularis propia. Tumor size 2.5 cm, positive for tumor lymphovascular space. Negative for tumor: lines of resection, pancreas, bile duct, (0/5) perigastric lymph node, (0/4) peripancreatic lymph node, (0/7) periintestinal lymp node, AJCC T3aN0Mx. Modern imaging studies and endoscopic procedures can aid in making an earlier diagnosis and thereby may increase the chances for cure with complete resection of the primary tumor.
RES SUR 2012 0001
