医学
印戒细胞癌
胰十二指肠切除术
瓦特壶腹
癌
肠梗阻
壶腹
黄疸
胃肠病学
转移
外科
腺癌
内科学
切除术
癌症
作者
Kizuki Yuza,Jun Sakata,Daiki Soma,Takuya Ando,Yuki Hirose,Hirosuke Ishikawa,Kohei Miura,Kumiko Tatsuda,Taku Ohashi,Kazuyasu Takizawa,Masayuki Nagahashi,Hitoshi Kameyama,Takashi Kobayashi,Shin-ichi Kosugi,Toshifumi Wakai
摘要
A 62-year-old man presented with pruritus caused by obstructive jaundice. He was diagnosed with carcinoma of the ampulla of Vater and underwent pylorus-preserving pancreaticoduodenectomy. Histologic examination revealed signet-ring cell carcinoma without nodal metastasis. The patient underwent a partial resection of the small bowel for small bowel obstruction 38 months after the initial resection. Histologic examination disclosed signet-ring cell carcinoma at the surface of the resected small bowel, and the diagnosis of peritoneal recurrence was confirmed. He received oral S-1(100 mg/day) every other day for 14 months until bowel obstruction caused by peritoneal carcinomatosis became apparent. The patient died of the disease 58 months after the initial resection.
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