Murabayash Ryo, Itou Hideto, Takahashi Koudai, Hashimoto Masatoshi, Nagayasu Kiichi, Mita Kazuhito, Asakawa Hideki, Koizumi Kazuya, Hayashi Takashi, Fujino Keiichi, Okamoto Shigeru
Dept. of Surgery,New-Tokyo Hospital.
Gan To Kagaku Ryoho. 2014 Jun;41(6):785-7.
We report a case of small intestinal cancer that arose in the upper intestine 16 years after pylorus-preserving pancreaticoduodenectomy( PPPD). An 84-year-old man, who had undergone PPPD for benign biliary tract disease 16 years previously, was found to have a primary small intestinal tumor in the upper intestine by upper gastrointestinal endoscopy, and primary intestinal cancer in the upper intestine was finally diagnosed. We performed partial resection of the upper small intestine and stomach and partial colectomy of the transverse colon to account for direct invasion. Histopathologically, the primary lesion was diagnosed as a moderately to poorly differentiated adenocarcinoma. Small intestinal cancer in the upper intestine after PPPD is extremely rare.
我们报告一例在保留幽门的胰十二指肠切除术（PPPD）16年后发生于上段小肠的小肠癌病例。一名84岁男性，16年前因良性胆道疾病接受了PPPD，经上消化道内镜检查发现上段小肠有原发性小肠肿瘤，最终被诊断为上段小肠原发性肠癌。我们进行了上段小肠和胃的部分切除术以及横结肠部分切除术以处理直接侵犯情况。组织病理学检查显示，原发性病变被诊断为中分化至低分化腺癌。PPPD后上段小肠发生癌症极为罕见。
