A Rare Case of Ureteral Carcinoma with Recurrence in the Duodenum Requiring Double Stenting

A 61-year-old man who had undergone total nephrouretectomy eight months earlier for right ureteral carcinoma was referred for the investigation of elevated serum hepatobiliary enzymes. Computed tomography revealed a small mass invading the lower bile duct. Duodenoscopy revealed a central ulcerative...

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Autores principales: Matsubayashi, Hiroyuki, Ishiwatari, Hirotoshi, Tanaka, Masaki, Iwai, Tomohiro, Matsui, Toru, Fujie, Shinya, Kakushima, Naomi, Ito, Sayo, Yamashita, Ryo, Abe, Masato, Sasaki, Keiko, Ono, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725864/
https://www.ncbi.nlm.nih.gov/pubmed/28943567
http://dx.doi.org/10.2169/internalmedicine.8821-17
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author Matsubayashi, Hiroyuki
Ishiwatari, Hirotoshi
Tanaka, Masaki
Iwai, Tomohiro
Matsui, Toru
Fujie, Shinya
Kakushima, Naomi
Ito, Sayo
Yamashita, Ryo
Abe, Masato
Sasaki, Keiko
Ono, Hiroyuki
author_facet Matsubayashi, Hiroyuki
Ishiwatari, Hirotoshi
Tanaka, Masaki
Iwai, Tomohiro
Matsui, Toru
Fujie, Shinya
Kakushima, Naomi
Ito, Sayo
Yamashita, Ryo
Abe, Masato
Sasaki, Keiko
Ono, Hiroyuki
author_sort Matsubayashi, Hiroyuki
collection PubMed
description A 61-year-old man who had undergone total nephrouretectomy eight months earlier for right ureteral carcinoma was referred for the investigation of elevated serum hepatobiliary enzymes. Computed tomography revealed a small mass invading the lower bile duct. Duodenoscopy revealed a central ulcerative tumor near the major papilla, and a biopsy histologically confirmed metastatic ureteral carcinoma. Endoscopic biliary stenting ameliorated the cholangitis, and gemcitabine-based chemotherapy was initiated. The patient was stable for a year until a duodenal stenosis developed and required duodenal stenting. Endoscopic procedures play important roles in the management of rare metastases to the duodenum.
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spelling pubmed-57258642017-12-13 A Rare Case of Ureteral Carcinoma with Recurrence in the Duodenum Requiring Double Stenting Matsubayashi, Hiroyuki Ishiwatari, Hirotoshi Tanaka, Masaki Iwai, Tomohiro Matsui, Toru Fujie, Shinya Kakushima, Naomi Ito, Sayo Yamashita, Ryo Abe, Masato Sasaki, Keiko Ono, Hiroyuki Intern Med Case Report A 61-year-old man who had undergone total nephrouretectomy eight months earlier for right ureteral carcinoma was referred for the investigation of elevated serum hepatobiliary enzymes. Computed tomography revealed a small mass invading the lower bile duct. Duodenoscopy revealed a central ulcerative tumor near the major papilla, and a biopsy histologically confirmed metastatic ureteral carcinoma. Endoscopic biliary stenting ameliorated the cholangitis, and gemcitabine-based chemotherapy was initiated. The patient was stable for a year until a duodenal stenosis developed and required duodenal stenting. Endoscopic procedures play important roles in the management of rare metastases to the duodenum. The Japanese Society of Internal Medicine 2017-09-25 2017-11-15 /pmc/articles/PMC5725864/ /pubmed/28943567 http://dx.doi.org/10.2169/internalmedicine.8821-17 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Matsubayashi, Hiroyuki
Ishiwatari, Hirotoshi
Tanaka, Masaki
Iwai, Tomohiro
Matsui, Toru
Fujie, Shinya
Kakushima, Naomi
Ito, Sayo
Yamashita, Ryo
Abe, Masato
Sasaki, Keiko
Ono, Hiroyuki
A Rare Case of Ureteral Carcinoma with Recurrence in the Duodenum Requiring Double Stenting
title A Rare Case of Ureteral Carcinoma with Recurrence in the Duodenum Requiring Double Stenting
title_full A Rare Case of Ureteral Carcinoma with Recurrence in the Duodenum Requiring Double Stenting
title_fullStr A Rare Case of Ureteral Carcinoma with Recurrence in the Duodenum Requiring Double Stenting
title_full_unstemmed A Rare Case of Ureteral Carcinoma with Recurrence in the Duodenum Requiring Double Stenting
title_short A Rare Case of Ureteral Carcinoma with Recurrence in the Duodenum Requiring Double Stenting
title_sort rare case of ureteral carcinoma with recurrence in the duodenum requiring double stenting
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725864/
https://www.ncbi.nlm.nih.gov/pubmed/28943567
http://dx.doi.org/10.2169/internalmedicine.8821-17
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