| Curative resection for a pancreatic endocrine carcinoma involving the portal vein. | |
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MedLine Citation:
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PMID: 15532841 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 68-year-old male was admitted to our hospital for worsening of diabetes mellitus. Abdominal computed tomography showed a well-enhanced tumor in the head of the pancreas. Endoscopic retrograde cholangiopancreatography revealed tapering obstruction of the main pancreatic duct and stricture of the common bile duct. Celiac angiography demonstrated a vague tumor stain. Percutaneous transhepatic portography disclosed stricture of the portal vein. Pylorus-preserving pancreatoduodenectomy with segmental resection and reconstruction of the portal vein was performed under a diagnosis of nonfunctioning endocrine carcinoma of the pancreas. Histological examination demonstrated that the tumor was composed of small nests and cords of cuboidal cells with nodal invasion, and was proven to be nonfunctioning endocrine carcinoma of the pancreas. Microscopically, the tumor invaded the portal vein, common bile duct and main pancreatic duct. The postoperative course was uneventful, and he is now well without any evidence of recurrent disease 14 months after surgery. |
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Authors:
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Eiji Sakamoto; Hiroshi Hasegawa; Seiji Ogiso; Tsuyoshi Igami; Toshiharu Mori; Takashi Mizuno; Kotaro Hattori; Masayuki Sugimoto; Yasuyuki Fukami |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 51 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2004 Nov-Dec |
Date Detail:
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Created Date: 2004-11-09 Completed Date: 2005-02-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: Greece |
Other Details:
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Languages: eng Pagination: 1849-51 Citation Subset: IM |
Affiliation:
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Department of Surgery, Nagoya Daini Red Cross Hospital, Nagoya, Japan. sakaeiji@nagoya2.jrc.or.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenoma, Islet Cell
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diagnosis,
surgery* Aged Biopsy, Needle Cholangiopancreatography, Endoscopic Retrograde / methods Follow-Up Studies Humans Immunohistochemistry Male Neoplasm Invasiveness / pathology* Neoplasm Staging Pancreatic Neoplasms / diagnosis, surgery* Pancreaticoduodenectomy / methods* Portal Vein / pathology*, surgery Portography Risk Assessment Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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