A case of carcinoma of the papilla of Vater in a young man after subtotal colectomy for familial adenomatous polyposis View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-02-24

AUTHORS

Shuji Komori, Masahiko Kawai, Toyoo Nitta, Yusuke Murase, Keita Matsumoto, Chika Shinoda, Masashi Kuno, Yuki Sasaguri, Masahiro Fukada, Yoshimi Asano, Shigeru Kiyama, Chihiro Tanaka, Yasuko Nagao, Narutoshi Nagao, Katsuyuki Kunieda

ABSTRACT

BACKGROUND: Carcinoma and adenoma of the duodenum, including the papilla of Vater, are problematic diseases in patients with familial adenomatous polyposis (FAP). CASE PRESENTATION: A 36-year-old man underwent a periodic medical examination for early colon cancer originating from FAP for which laparoscopic-assisted subtotal colectomy with a J-shaped ileal pouch-rectal anastomosis was performed 3 years earlier. A tumor was detected at the papilla of Vater along with elevation of total bilirubin and hepatobiliary enzymes. Although cytology did not determine the tumor to be an adenocarcinoma, we suspected adenocarcinoma due to its hypervascularity shown by contrast-enhanced computed tomography. Pylorus-preserving pancreaticoduodenectomy with modified Imanaga reconstruction and regional lymph node dissection (D2) was performed. The pathological study showed that the tumor was a papillary and moderately differentiated tubular adenocarcinoma. The patient is currently in good health without recurrence, weight loss, or severe diarrhea at 12 months after surgery. CONCLUSIONS: Awareness of biliary-pancreatic symptoms and periodic gastroduodenoscopy might contribute both to the early detection of duodenal or periampullary polyps and cancer and to the radical treatment of FAP. Modified Imanaga reconstruction has the potential to become one of the more effective procedures for providing good quality of life to FAP patients with duodenal or periampullary cancer. More... »

PAGES

47

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12957-016-0806-8

DOI

http://dx.doi.org/10.1186/s12957-016-0806-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1022277270

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26912337


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24 schema:description BACKGROUND: Carcinoma and adenoma of the duodenum, including the papilla of Vater, are problematic diseases in patients with familial adenomatous polyposis (FAP). CASE PRESENTATION: A 36-year-old man underwent a periodic medical examination for early colon cancer originating from FAP for which laparoscopic-assisted subtotal colectomy with a J-shaped ileal pouch-rectal anastomosis was performed 3 years earlier. A tumor was detected at the papilla of Vater along with elevation of total bilirubin and hepatobiliary enzymes. Although cytology did not determine the tumor to be an adenocarcinoma, we suspected adenocarcinoma due to its hypervascularity shown by contrast-enhanced computed tomography. Pylorus-preserving pancreaticoduodenectomy with modified Imanaga reconstruction and regional lymph node dissection (D2) was performed. The pathological study showed that the tumor was a papillary and moderately differentiated tubular adenocarcinoma. The patient is currently in good health without recurrence, weight loss, or severe diarrhea at 12 months after surgery. CONCLUSIONS: Awareness of biliary-pancreatic symptoms and periodic gastroduodenoscopy might contribute both to the early detection of duodenal or periampullary polyps and cancer and to the radical treatment of FAP. Modified Imanaga reconstruction has the potential to become one of the more effective procedures for providing good quality of life to FAP patients with duodenal or periampullary cancer.
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31 schema:keywords FAP patients
32 Imanaga reconstruction
33 Modified Imanaga reconstruction
34 Vater
35 adenocarcinoma
36 adenomas
37 adenomatous polyposis
38 anastomosis
39 awareness
40 biliary-pancreatic symptoms
41 cancer
42 carcinoma
43 cases
44 cases of carcinoma
45 colectomy
46 colon cancer
47 computed tomography
48 contrast-enhanced computed tomography
49 cytology
50 detection
51 diarrhea
52 disease
53 dissection
54 duodenum
55 early colon cancer
56 early detection
57 effective procedure
58 elevation
59 enzyme
60 examination
61 familial adenomatous polyposis
62 gastroduodenoscopy
63 good health
64 good quality
65 health
66 hepatobiliary enzymes
67 hypervascularity
68 ileal pouch-rectal anastomosis
69 laparoscopic
70 life
71 loss
72 lymph node dissection
73 medical examination
74 men
75 months
76 node dissection
77 pancreaticoduodenectomy
78 papilla of Vater
79 papillae
80 pathological studies
81 patients
82 periampullary cancer
83 periampullary polyps
84 periodic gastroduodenoscopy
85 periodic medical examinations
86 polyposis
87 polyps
88 potential
89 pouch-rectal anastomosis
90 problematic disease
91 procedure
92 pylori
93 quality
94 radical treatment
95 reconstruction
96 recurrence
97 regional lymph node dissection
98 severe diarrhea
99 study
100 subtotal colectomy
101 surgery
102 symptoms
103 tomography
104 treatment
105 tubular adenocarcinoma
106 tumors
107 weight loss
108 years
109 young men
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