Document Detail


Curative resection for a pancreatic endocrine carcinoma involving the portal vein.
MedLine Citation:
PMID:  15532841     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Eiji Sakamoto; Hiroshi Hasegawa; Seiji Ogiso; Tsuyoshi Igami; Toshiharu Mori; Takashi Mizuno; Kotaro Hattori; Masayuki Sugimoto; Yasuyuki Fukami
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  51     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2004 Nov-Dec
Date Detail:
Created Date:  2004-11-09     Completed Date:  2005-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  1849-51     Citation Subset:  IM    
Affiliation:
Department of Surgery, Nagoya Daini Red Cross Hospital, Nagoya, Japan. sakaeiji@nagoya2.jrc.or.jp
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MeSH Terms
Descriptor/Qualifier:
Adenoma, Islet Cell / 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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