A Case of Duodenal Carcinoma Treated by Surgery and Adjuvant Therapy with Gemcitabine.

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  • NAKAMURA Munetaka
    Gastroenterology and Hepatology (Internal Medicine I. ), Yamaguchi University Graduate School of Medicine
  • NISHIKAWA Jun
    Gastroenterology and Hepatology (Internal Medicine I. ), Yamaguchi University Graduate School of Medicine
  • KIYOTOKI Shu
    Gastroenterology and Hepatology (Internal Medicine I. ), Yamaguchi University Graduate School of Medicine
  • SAITO Mari
    Gastroenterology and Hepatology (Internal Medicine I. ), Yamaguchi University Graduate School of Medicine
  • HAMABE Kouichi
    Gastroenterology and Hepatology (Internal Medicine I. ), Yamaguchi University Graduate School of Medicine
  • OKAMOTO Takeshi
    Gastroenterology and Hepatology (Internal Medicine I. ), Yamaguchi University Graduate School of Medicine
  • YAMASAKI Takahiro
    Department of Gastroenterological Endoscopy, Yamaguchi University Hospital
  • SAKAMOTO Kazuhiko
    Digestive Surgery and Surgical Oncology (Surgery II. ), Yamaguchi University Graduate School of Medicine
  • OKA Masaaki
    Digestive Surgery and Surgical Oncology (Surgery II. ), Yamaguchi University Graduate School of Medicine
  • GONDO Toshikazu
    Department of Surgical Pathology, Yamaguchi University Hospital
  • SAKAIDA Isao
    Gastroenterology and Hepatology (Internal Medicine I. ), Yamaguchi University Graduate School of Medicine

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Other Title
  • 外科的切除後にゲムシタビンによる補助化学療法を行った十二指腸癌の１例
  • ゲカテキ セツジョゴ ニ ゲムシタビン ニヨル ホジョ カガク リョウホウ オ オコナッタ ジュウニシチョウ ガン ノ 1レイ
  • 症例報告 外科的切除後にゲムシタビンによる補助化学療法を行った十二指腸癌の1例
  • ショウレイ ホウコク ゲカテキ セツジョ ゴ ニ ゲムシタビン ニ ヨル ホジョ カガク リョウホウ オ オコナッタ ジュウニシチョウガン ノ 1レイ

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We report a rare case of duodenal carcinoma treated by surgery. A 70-year-old level woman presented blacky stool and vomiting. Esophagogastroduodenoscopy revealed stenosis of duodenum, and she was referred to our hospital for further examination and treatment. Abdominal computed tomography scanning showed a mass that was located in the 2nd portion of the duodenum. Pathological examination by endoscopic biopsy revealed adenocarcinoma. Pancreatoduodenectomy was performed and histological diagnosis was primary duodenal adenocarcinoma. Although we added adjuvant chemotherapy by gemcitabine, metastatic lesions were found in the lung, liver and peritonium 13 months after surgery.

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