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A case of periampullary adenomyoma that potentially obviated the need for pancreaticoduodenectomy
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- Hirose Haruto
- Department of Gastroenterology Medicine Center, Shonan Kamakura General Hospital
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- Sasaki Akiko
- Department of Gastroenterology Medicine Center, Shonan Kamakura General Hospital
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- Ichita Chikamasa
- Department of Gastroenterology Medicine Center, Shonan Kamakura General Hospital
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- Sumida Chihiro
- Department of Gastroenterology Medicine Center, Shonan Kamakura General Hospital
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- Nishino Takashi
- Department of Gastroenterology Medicine Center, Shonan Kamakura General Hospital
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- Nagayama Miki
- Department of Gastroenterology Medicine Center, Shonan Kamakura General Hospital
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- Makazu Makomo
- Department of Gastroenterology Medicine Center, Shonan Kamakura General Hospital
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- Kimura Karen
- Department of Gastroenterology Medicine Center, Shonan Kamakura General Hospital
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- Masuda Sakue
- Department of Gastroenterology Medicine Center, Shonan Kamakura General Hospital
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- Naito Wataru
- Department of Diagnostic Pathology, Shonan Kamakura General Hospital
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- Tesihma Shinichi
- Department of Diagnostic Pathology, Shonan Kamakura General Hospital
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- Koizumi Kazuya
- Department of Gastroenterology Medicine Center, Shonan Kamakura General Hospital
Bibliographic Information
- Other Title
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- 膵頭十二指腸切除術を回避し得た傍乳頭部のAdenomyoma
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Description
<p>Pancreaticoduodenectomy (PD) is the standard treatment for duodenal cancers suspected of submucosal invasion. Pathological diagnosis from duodenal biopsy samples has some limitations. We present the case of a man in his 70s with bile duct dilation and a suspected parapapillary duodenal cancer. Given the uncertainty of the biopsy, endoscopic submucosal dissection (ESD) was performed as a minimally invasive diagnostic alternative to PD. Histological diagnosis revealed an adenomyoma with high-grade adenoma, underscoring the efficacy of ESD in accurately diagnosing periampullary lesions. For patients with periampullary lesions, this case suggests that ESD could serve as a less invasive approach, potentially avoiding overtreatment, such as radical surgery.</p>
Journal
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- Progress of Digestive Endoscopy
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Progress of Digestive Endoscopy 104 (1), 87-89, 2024-06-21
Japan Gastroenterological Endoscopy Society Kanto Chapter
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Keywords
Details 詳細情報について
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- CRID
- 1390582154178149632
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- ISSN
- 21874999
- 13489844
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- OpenAIRE
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- Abstract License Flag
- Disallowed