<原著>十二指腸乳頭上部細網肉腫の1例

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A 29-year-old woman was admitted to the hospital on July 6,1976 because of anemia. She was well until June, when she became aware of fatigue, edema and palpitation. On physical examination the patient was anemic, but was not jaundiced. The lymph node, liver, spleen and tumor were not palpable. Laboratory studies disclosed the following values : Hb 7.1 gm/dl ; Ht 25.8% ; RBC 333×10^4 ; total protein 5.9gm/dl ; occult blood test (-); the functions of the liver, pancreas and kidneys were normal. An upper G. I. x-ray series pointed out an abnormality of the duodenum, and a duodenal endoscopy revealed a tumor in the duodenum. A hypotonic duodenography demonstrated a filling defect in the posterior wall of the descending portion, and a duodenal endoscopy revealed a protruded tumor with ulceration at the oral side of papilla, but the tumor was not in contact with the papilla. E. R. C. P., D. I. C. and scintigram of the pancreas were normal. Pancreatico-duodenectomy was performed on July 26,1976. A histological diagnosis of reticulum cell sarcoma was established on a resected specimen. During the one year following the operation, she was well without relapse on the oral administration of PSK, but prophylactic chemotherapy and radiotherapy were not performed. Duodenal reticulum cell sarcoma is very rare, and is less than 10% of all duodenal sarcomas. The incidence of duodenal reticulum cell sarcoma is 2% of all intestinal reticulum cell sarcomas. In Japan, ten-odd cases of the duodenal reticulum cell sarcoma were reported.
近畿大学の論文
1978-09-25

<原著>十二指腸乳頭上部細網肉腫の1例

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