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Early duodenal adenocarcinoma resembling a submucosal tumor cured with endoscopic resection: a case report

INTRODUCTION: Primary adenocarcinomas resembling submucosal tumors are rare in the gastrointestinal tract. Almost all the submucosal tumor-like adenocarcinomas previously reported invaded the submucosa or deeper. Therefore, submucosal tumor-like lesions are usually treated by surgical resection, and...

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Autores principales: Dobashi, Akira, Goda, Kenichi, Yoshimura, Noboru, Sumiyama, Kazuki, Toyoizumi, Hirobumi, Saito, Shoichi, Kato, Tomohiro, Ishikawa, Hiroki, Yanaga, Katsuhiko, Tajiri, Hisao, Ikegami, Masahiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3457862/
https://www.ncbi.nlm.nih.gov/pubmed/22947132
http://dx.doi.org/10.1186/1752-1947-6-280
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author Dobashi, Akira
Goda, Kenichi
Yoshimura, Noboru
Sumiyama, Kazuki
Toyoizumi, Hirobumi
Saito, Shoichi
Kato, Tomohiro
Ishikawa, Hiroki
Yanaga, Katsuhiko
Tajiri, Hisao
Ikegami, Masahiro
author_facet Dobashi, Akira
Goda, Kenichi
Yoshimura, Noboru
Sumiyama, Kazuki
Toyoizumi, Hirobumi
Saito, Shoichi
Kato, Tomohiro
Ishikawa, Hiroki
Yanaga, Katsuhiko
Tajiri, Hisao
Ikegami, Masahiro
author_sort Dobashi, Akira
collection PubMed
description INTRODUCTION: Primary adenocarcinomas resembling submucosal tumors are rare in the gastrointestinal tract. Almost all the submucosal tumor-like adenocarcinomas previously reported invaded the submucosa or deeper. Therefore, submucosal tumor-like lesions are usually treated by surgical resection, and those that arise in the duodenum have been treated by pancreaticoduodenectomy. CASE PRESENTATION: A 65-year-old Japanese man was diagnosed with a submucosal tumor-like adenocarcinoma in his duodenum. We considered it possible that the tumor invasion was limited to the mucosal or submucosal layers and could be removed by endoscopic resection. Tumor histopathology revealed a well-differentiated adenocarcinoma confined to the muscularis mucosae with no lymphovascular invasion. Complete resection of the carcinoma was achieved and there has been no recurrence three years after endoscopic resection. CONCLUSIONS: We suggest that submucosal tumor-like adenocarcinomas arising in nonampullary duodenal sites should be diagnosed carefully with a view to possible endoscopic resection.
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spelling pubmed-34578622012-09-26 Early duodenal adenocarcinoma resembling a submucosal tumor cured with endoscopic resection: a case report Dobashi, Akira Goda, Kenichi Yoshimura, Noboru Sumiyama, Kazuki Toyoizumi, Hirobumi Saito, Shoichi Kato, Tomohiro Ishikawa, Hiroki Yanaga, Katsuhiko Tajiri, Hisao Ikegami, Masahiro J Med Case Rep Case Report INTRODUCTION: Primary adenocarcinomas resembling submucosal tumors are rare in the gastrointestinal tract. Almost all the submucosal tumor-like adenocarcinomas previously reported invaded the submucosa or deeper. Therefore, submucosal tumor-like lesions are usually treated by surgical resection, and those that arise in the duodenum have been treated by pancreaticoduodenectomy. CASE PRESENTATION: A 65-year-old Japanese man was diagnosed with a submucosal tumor-like adenocarcinoma in his duodenum. We considered it possible that the tumor invasion was limited to the mucosal or submucosal layers and could be removed by endoscopic resection. Tumor histopathology revealed a well-differentiated adenocarcinoma confined to the muscularis mucosae with no lymphovascular invasion. Complete resection of the carcinoma was achieved and there has been no recurrence three years after endoscopic resection. CONCLUSIONS: We suggest that submucosal tumor-like adenocarcinomas arising in nonampullary duodenal sites should be diagnosed carefully with a view to possible endoscopic resection. BioMed Central 2012-09-04 /pmc/articles/PMC3457862/ /pubmed/22947132 http://dx.doi.org/10.1186/1752-1947-6-280 Text en Copyright ©2012 Dobashi et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Dobashi, Akira
Goda, Kenichi
Yoshimura, Noboru
Sumiyama, Kazuki
Toyoizumi, Hirobumi
Saito, Shoichi
Kato, Tomohiro
Ishikawa, Hiroki
Yanaga, Katsuhiko
Tajiri, Hisao
Ikegami, Masahiro
Early duodenal adenocarcinoma resembling a submucosal tumor cured with endoscopic resection: a case report
title Early duodenal adenocarcinoma resembling a submucosal tumor cured with endoscopic resection: a case report
title_full Early duodenal adenocarcinoma resembling a submucosal tumor cured with endoscopic resection: a case report
title_fullStr Early duodenal adenocarcinoma resembling a submucosal tumor cured with endoscopic resection: a case report
title_full_unstemmed Early duodenal adenocarcinoma resembling a submucosal tumor cured with endoscopic resection: a case report
title_short Early duodenal adenocarcinoma resembling a submucosal tumor cured with endoscopic resection: a case report
title_sort early duodenal adenocarcinoma resembling a submucosal tumor cured with endoscopic resection: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3457862/
https://www.ncbi.nlm.nih.gov/pubmed/22947132
http://dx.doi.org/10.1186/1752-1947-6-280
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