Document Detail


Mucinous carcinoma of the duodenum associated with hereditary nonpolyposis colorectal cancer: report of a case.
MedLine Citation:
PMID:  17123147     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We herein report a rare case of primary mucinous carcinoma of the duodenum associated with hereditary nonpolyposis colorectal cancer (HNPCC). A 50-year-old man known to have HNPCC based on the Amsterdam criteria I was admitted because of the presence of a duodenal tumor. Duodenoscopy revealed an ulcerated tumor in the posterior wall of the second portion of the duodenum and the malignancy was confirmed by a biopsy. He underwent a pylorus-preserving pancreaticoduodenectomy with a regional lymph node dissection. The histological diagnosis was mucinous carcinoma of the duodenum with lymph node metastasis. High-frequency microsatellite instability (MSI-H) was identified in both the colon and a duodenal specimen based on a microsatellite assay. A germline mutation in the hMSH2 gene was also identified. Even though extracolonic malignancies are associated with HNPCC, duodenal cancer is nevertheless very rare, and only two cases have been reported over the past 20 years. The present case is therefore only the third such case and the patient is herein described with a brief review of the literature.
Authors:
Toshihiko Yagyu; Tsukasa Aihara; Michinori Murayama; Shoichi Kikuchi; Eisyu Nakamura; Kazuo Hase; Kazuo Hatsuse; Kazuo Tamura; Hidetaka Mochizuki
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-12-25
Journal Detail:
Title:  Surgery today     Volume:  36     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2006  
Date Detail:
Created Date:  2006-11-23     Completed Date:  2007-11-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1129-32     Citation Subset:  IM    
Affiliation:
Second Department of Surgery, Hyogo College of Medicine, Mukogawa-cho, Nishinomiya-shi, Hyogo 663-8501, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma, Mucinous / complications*,  diagnosis,  surgery
Colorectal Neoplasms, Hereditary Nonpolyposis / complications*,  diagnosis
Diagnosis, Differential
Duodenal Neoplasms / complications*,  diagnosis,  surgery
Endoscopy, Gastrointestinal
Endosonography
Follow-Up Studies
Humans
Male
Middle Aged
Pancreaticoduodenectomy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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