A case of carcinoma of the papilla of Vater in a young man after subtotal colectomy for familial adenomatous polyposis.
World J Surg Oncol
; 14(1): 47, 2016 Feb 24.
Article
en En
| MEDLINE
| ID: mdl-26912337
ABSTRACT
BACKGROUND:
Carcinoma and adenoma of the duodenum, including the papilla of Vater, are problematic diseases in patients with familial adenomatous polyposis (FAP). CASE PRESENTATION A 36-year-old man underwent a periodic medical examination for early colon cancer originating from FAP for which laparoscopic-assisted subtotal colectomy with a J-shaped ileal pouch-rectal anastomosis was performed 3 years earlier. A tumor was detected at the papilla of Vater along with elevation of total bilirubin and hepatobiliary enzymes. Although cytology did not determine the tumor to be an adenocarcinoma, we suspected adenocarcinoma due to its hypervascularity shown by contrast-enhanced computed tomography. Pylorus-preserving pancreaticoduodenectomy with modified Imanaga reconstruction and regional lymph node dissection (D2) was performed. The pathological study showed that the tumor was a papillary and moderately differentiated tubular adenocarcinoma. The patient is currently in good health without recurrence, weight loss, or severe diarrhea at 12 months after surgery.CONCLUSIONS:
Awareness of biliary-pancreatic symptoms and periodic gastroduodenoscopy might contribute both to the early detection of duodenal or periampullary polyps and cancer and to the radical treatment of FAP. Modified Imanaga reconstruction has the potential to become one of the more effective procedures for providing good quality of life to FAP patients with duodenal or periampullary cancer.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
3_ND
Problema de salud:
3_diarrhea
Asunto principal:
Complicaciones Posoperatorias
/
Ampolla Hepatopancreática
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Colectomía
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Neoplasias del Conducto Colédoco
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Poliposis Adenomatosa del Colon
Tipo de estudio:
Prognostic_studies
/
Screening_studies
Aspecto:
Patient_preference
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
World J Surg Oncol
Año:
2016
Tipo del documento:
Article
País de afiliación:
Japón