Adenoendocrine carcinoma of the accessory papilla of the duodenum: Report of a case

Yamamoto, Yuji; Watanabe, Yuji; Horiuchi, Atsushi; Yoshida, Misao; Yukumi, Shungo; Sato, Koichi; Nakagawa, Hirofumi; Sugishita, Hiroki; Ishida, Naoki; Ishikawa, M.; Ishikawa, Kaoru; Kawachi, Kanji

doi:10.1007/s00595-008-3874-8

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…According to this review, there were nine carcinoid tumors, four adenomas, three somatostatinomas, two gangliocytic paragangliomas, one adenomyoma, and only four adenocarcinomas [3][4][5][6]. According to a search of PubMed (http://www.pubmed.com performed on 15 March 2011 with keywords 'carcinoma' and 'minor duodenal papilla') only seven cases of carcinoma of the minor papilla have been reported [3,[5][6][7][8][9][10]. One of the reasons for the rarity of reports may be that patients have no characteristic symptoms when the tumor is in an early stage.…”

Section: Discussionmentioning

confidence: 99%

“…PD, which has been considered the standard procedure for patients with carcinoma of the duodenum [13], was performed for all previously reported cases of carcinoma of the minor duodenal papilla [3][4][5][6][7][8][9][10] (Table 1). In patients with carcinoma of the papilla of Vater [14][15][16], the depth of cancer cell infiltration into the pancreatic parenchyma and the presence or absence of lymph node metastases will influence the prognosis of carcinoma of the minor duodenal papilla.…”

Section: Discussionmentioning

confidence: 99%

“…All ductal tumors from the accessory pancreatic duct occur around the minor duodenal papilla [2]; however, only a few cases of carcinoma of the minor duodenal papilla have been reported in the literature. Pancreaticoduodenectomy (PD) has been used for most of the previously reported cases [3][4][5][6][7][8][9][10]. We report here the case of a patient with an adenocarcinoma of the minor duodenal papilla at an early stage, which was successfully treated with a pancreassparing segmental duodenectomy (PSSD).…”

Section: Introductionmentioning

confidence: 94%

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Adenocarcinoma of the minor duodenal papilla treated with pancreas-sparing segmental duodenectomy: case report and review of the literature

Zuiki

Sata

Sasanuma

et al. 2011

Clin J Gastroenterol

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Carcinoma of the minor duodenal papilla is extremely rare. We present the case of a 69-year-old man diagnosed with a tumor of the second portion of the duodenum by upper gastrointestinal endoscopy, which revealed a 1.5-cm elevated tumor with slight ulceration at the minor duodenal papilla. Biopsy revealed adenocarcinoma, and a computed tomography scan showed an enhanced tumor in the duodenum, with no abnormality in the pancreatic head. A pancreas-sparing segmental duodenectomy was performed, and the duodenum reconstructed with an end-to-end anastomosis. Microscopically, the tumor was a well-differentiated adenocarcinoma, with no infiltration at the cut end of the accessory pancreatic duct. The postoperative course was uneventful and the patient discharged on postoperative day 11. We reviewed previously reported cases of carcinoma of the minor duodenal papilla. Early and exact preoperative diagnosis of duodenal neoplasms makes it possible to select a less invasive treatment, which also maintains curability.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 94%

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Adenocarcinoma of the minor duodenal papilla treated with pancreas-sparing segmental duodenectomy: case report and review of the literature

Zuiki

Sata

Sasanuma

et al. 2011

Clin J Gastroenterol

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Adenocarcinoma of the minor duodenal papilla: Report of a case

Okuma¹,

Ozaki

Abe

et al. 2011

Surg Today

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We report a case of adenocarcinoma of the minor duodenal papilla, a rare type of duodenal neoplasm. A 76-year-old man with a history of surgery for rectal cancer and gastric cancer was referred to us after a follow-up upper gastrointestinal endoscopy revealed an abnormal elevation in the minor duodenal papilla. The pathological diagnosis of a biopsy specimen was adenocarcinoma. Preoperative examination of other organs revealed a tumor in the ascending colon, which was also identified as adenocarcinoma. We performed synchronous pancreatoduodenectomy and ileocecal resection with lymph node dissection. Histopathological examination of the resected specimen revealed that the papilla tumor arose from the duodenal mucosa and infiltrated the submucosa of the duodenal wall, but not the pancreatic parenchyma. Based on these findings, we diagnosed primary adenocarcinoma of the minor duodenal papilla. To our knowledge, this is only the sixth such case reported in the English-language literature, and we review all six cases after this case report.

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A Rare Histological Finding After Pancreaticoduodenectomy

Райн¹,

Персидский²,

Ionin³

et al. 2021

Sib. onkol. ž.

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In this paper, we describe the case of successful surgical treatment of a rare combination of three malignant tumors of the major duodenal papilla in one patient. A 59-year-old woman presented with abdominal pain, fever, nausea, vomiting, weight loss and obstructive jaundice. After routine examination, the patient with suspected cancer of the major duodenal papilla underwent pylorus-sparing pancreatoduodenal resection. Final histology revealed a rare collision of three types of cancer in the major duodenal papilla invading the pancreatic head: moderately-differentiated adenocarcinoma (30 %), moderately differentiated squamous cell carcinoma (20 %) and poorly differentiated small cell neuroendocrine cancer (50 %), surgical resection margins were intact. Immunohistochemical analysis revealed positivity for synaptophysin, chromogranin A and cytokeratin 5/6. The tumor diameter of 2 cm and the absence of signs of locoregional spread allowed the process to be staged as T2N0M0, so the patient did not receive any adjuvant treatment. Follow-up CT performed 6 months later showed two lesions in the liver, and biopsy of one of them was performed. Metastasis of neuroendocrine cancer was histologically and immunohistochemically verified. She started first-line chemotherapy with etoposide + cisplatin.

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Adenoendocrine carcinoma of the accessory papilla of the duodenum: Report of a case

Cited by 3 publications

References 15 publications

Adenocarcinoma of the minor duodenal papilla treated with pancreas-sparing segmental duodenectomy: case report and review of the literature

Adenocarcinoma of the minor duodenal papilla treated with pancreas-sparing segmental duodenectomy: case report and review of the literature

Adenocarcinoma of the minor duodenal papilla: Report of a case

A Rare Histological Finding After Pancreaticoduodenectomy

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