Journal of Nippon Medical School: Vol.71 No.3 page.198

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ArticleTitle 早期胃癌に十二指腸カルチノイドが併存した1切除例

AuthorList 川野陽一¹, 田尻孝¹, 秋丸琥甫¹, 徳永昭¹, 内田英二¹, 吉行俊郎¹, 吉田寛¹, 真々田裕宏¹, 谷合信彦¹, 進士誠一¹, 内藤善哉²

Affiliation ¹日本医科大学大学院医学研究科臓器病態制御外科学
²日本医科大学大学院医学研究科統御機構病理学

Language JA

Volume 71

Issue 3

Year 2004

Page 198-202

Received May 1, 2003

Accepted June 24, 2003

Keywords duodenal carcinoid, early gastric carcinoma, diagnosis, surgical treatment

Abstract A rare case of carcinoid tumor in the duodenal bulb associated with early gastric carcinoma is reported.
An 85-year-old asymptomatic male was admitted to our hospital, referred by his neighboring doctor because of early gastric carcinoma shown by endoscopic examination. X-ray studies of the upper gastrointestinal tract showed irregular lesser curvature of the gastric antrum and a filling defect (&phis;1 cm) at the duodenal bulb. Gastric biopsy revealed the histological findings of Group V. Distal gastrectomy including the duodenal bulb with D2 lymph node dissection was performed.
A resected specimens showed superficial depressed type carcinoma at the lesser curvature of the antrum, and an isolated submucosal tumor of 7×7 mm in size at the duodenal bulb. Histological examination disclosed papillary adenocarcinoma in the gastric mucosa and a carcinoid tumor of the duodenal bulb in the submucosal layer without high malignant findings. The patient has been well for 5 years since the surgery.
In conclusion, we discussed 46 collected cases of carcinoid tumor of the duodenum associated with gastric carcinoma in Japan. Preoperative diagnosis of carcinoid tumor of the duodenum is very difficult, and thorough examinations are needed for submucosal lesion.

Correspondence to Youichi Kawano, Surgery for Organ Function and Biological Regulation, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
surg.1@d8.dion.ac.jp

ArticleTitle	早期胃癌に十二指腸カルチノイドが併存した1切除例
AuthorList	川野陽一¹, 田尻孝¹, 秋丸琥甫¹, 徳永昭¹, 内田英二¹, 吉行俊郎¹, 吉田寛¹, 真々田裕宏¹, 谷合信彦¹, 進士誠一¹, 内藤善哉²
Affiliation	¹日本医科大学大学院医学研究科臓器病態制御外科学 ²日本医科大学大学院医学研究科統御機構病理学
Language	JA
Volume	71
Issue	3
Year	2004
Page	198-202
Received	May 1, 2003
Accepted	June 24, 2003
Keywords	duodenal carcinoid, early gastric carcinoma, diagnosis, surgical treatment
Abstract	A rare case of carcinoid tumor in the duodenal bulb associated with early gastric carcinoma is reported. An 85-year-old asymptomatic male was admitted to our hospital, referred by his neighboring doctor because of early gastric carcinoma shown by endoscopic examination. X-ray studies of the upper gastrointestinal tract showed irregular lesser curvature of the gastric antrum and a filling defect (&phis;1 cm) at the duodenal bulb. Gastric biopsy revealed the histological findings of Group V. Distal gastrectomy including the duodenal bulb with D2 lymph node dissection was performed. A resected specimens showed superficial depressed type carcinoma at the lesser curvature of the antrum, and an isolated submucosal tumor of 7×7 mm in size at the duodenal bulb. Histological examination disclosed papillary adenocarcinoma in the gastric mucosa and a carcinoid tumor of the duodenal bulb in the submucosal layer without high malignant findings. The patient has been well for 5 years since the surgery. In conclusion, we discussed 46 collected cases of carcinoid tumor of the duodenum associated with gastric carcinoma in Japan. Preoperative diagnosis of carcinoid tumor of the duodenum is very difficult, and thorough examinations are needed for submucosal lesion.
Correspondence to	Youichi Kawano, Surgery for Organ Function and Biological Regulation, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan surg.1@d8.dion.ac.jp