Poorly differentiated adenocarcinoma with signet-ring cells in duodenal papilla: a case report

An 82-year-old woman with common bile duct (CBD) dilatation observed during routine ultrasonography was referred to our hospital. Preliminary blood tests revealed elevated levels of hepatobiliary enzymes. Computed tomography (CT) scan showed lower bile duct wall thickening and enhancement. Esophagog...

Descripción completa

Detalles Bibliográficos
Autores principales: Ushida, Yuta, Hiramatsu, Kiyoshi, Saeki, Satomi, Amemiya, Takeshi, Goto, Hidenari, Arai, Toshiyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241256/
https://www.ncbi.nlm.nih.gov/pubmed/28097624
http://dx.doi.org/10.1186/s40792-017-0287-1
_version_ 1782496151047503872
author Ushida, Yuta
Hiramatsu, Kiyoshi
Saeki, Satomi
Amemiya, Takeshi
Goto, Hidenari
Arai, Toshiyuki
author_facet Ushida, Yuta
Hiramatsu, Kiyoshi
Saeki, Satomi
Amemiya, Takeshi
Goto, Hidenari
Arai, Toshiyuki
author_sort Ushida, Yuta
collection PubMed
description An 82-year-old woman with common bile duct (CBD) dilatation observed during routine ultrasonography was referred to our hospital. Preliminary blood tests revealed elevated levels of hepatobiliary enzymes. Computed tomography (CT) scan showed lower bile duct wall thickening and enhancement. Esophagogastroduodenoscopy revealed mildly swollen papilla of Vater, without ulceration. Endoscopic retrograde cholangiography demonstrated that the CBD was grossly dilated with a constriction in the lower part. The final diagnosis indicated poorly differentiated adenocarcinoma of duodenal papilla with signet-ring cells; pT3N0M0, stage IIA (Unio Internationalis Contra Cancrum, 7th edition), for which subtotal stomach-preserving pancreaticoduodenectomy (SSPPD) was performed. This case is quite rare, and the surgery resulted in a desirable outcome. The patient has been disease-free for 5 years since the surgery.
format Online
Article
Text
id pubmed-5241256
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-52412562017-01-25 Poorly differentiated adenocarcinoma with signet-ring cells in duodenal papilla: a case report Ushida, Yuta Hiramatsu, Kiyoshi Saeki, Satomi Amemiya, Takeshi Goto, Hidenari Arai, Toshiyuki Surg Case Rep Case Report An 82-year-old woman with common bile duct (CBD) dilatation observed during routine ultrasonography was referred to our hospital. Preliminary blood tests revealed elevated levels of hepatobiliary enzymes. Computed tomography (CT) scan showed lower bile duct wall thickening and enhancement. Esophagogastroduodenoscopy revealed mildly swollen papilla of Vater, without ulceration. Endoscopic retrograde cholangiography demonstrated that the CBD was grossly dilated with a constriction in the lower part. The final diagnosis indicated poorly differentiated adenocarcinoma of duodenal papilla with signet-ring cells; pT3N0M0, stage IIA (Unio Internationalis Contra Cancrum, 7th edition), for which subtotal stomach-preserving pancreaticoduodenectomy (SSPPD) was performed. This case is quite rare, and the surgery resulted in a desirable outcome. The patient has been disease-free for 5 years since the surgery. Springer Berlin Heidelberg 2017-01-17 /pmc/articles/PMC5241256/ /pubmed/28097624 http://dx.doi.org/10.1186/s40792-017-0287-1 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Ushida, Yuta
Hiramatsu, Kiyoshi
Saeki, Satomi
Amemiya, Takeshi
Goto, Hidenari
Arai, Toshiyuki
Poorly differentiated adenocarcinoma with signet-ring cells in duodenal papilla: a case report
title Poorly differentiated adenocarcinoma with signet-ring cells in duodenal papilla: a case report
title_full Poorly differentiated adenocarcinoma with signet-ring cells in duodenal papilla: a case report
title_fullStr Poorly differentiated adenocarcinoma with signet-ring cells in duodenal papilla: a case report
title_full_unstemmed Poorly differentiated adenocarcinoma with signet-ring cells in duodenal papilla: a case report
title_short Poorly differentiated adenocarcinoma with signet-ring cells in duodenal papilla: a case report
title_sort poorly differentiated adenocarcinoma with signet-ring cells in duodenal papilla: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241256/
https://www.ncbi.nlm.nih.gov/pubmed/28097624
http://dx.doi.org/10.1186/s40792-017-0287-1
work_keys_str_mv AT ushidayuta poorlydifferentiatedadenocarcinomawithsignetringcellsinduodenalpapillaacasereport
AT hiramatsukiyoshi poorlydifferentiatedadenocarcinomawithsignetringcellsinduodenalpapillaacasereport
AT saekisatomi poorlydifferentiatedadenocarcinomawithsignetringcellsinduodenalpapillaacasereport
AT amemiyatakeshi poorlydifferentiatedadenocarcinomawithsignetringcellsinduodenalpapillaacasereport
AT gotohidenari poorlydifferentiatedadenocarcinomawithsignetringcellsinduodenalpapillaacasereport
AT araitoshiyuki poorlydifferentiatedadenocarcinomawithsignetringcellsinduodenalpapillaacasereport

Ejemplares similares