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十二指肠切除术和胃空肠吻合术后Brunner腺腺癌复发

Recurrence of Brunner Gland Adenocarcinoma After Duodenectomy and Gastrojejunostomy.

作者信息

Hong Paul, Ghanim Marcel, Haseeb Abdul, Ding Xianzhong, Abegunde Ayokunle T

机构信息

Department of Internal Medicine, Loyola University Medical Center, Maywood, IL.

Division of Gastroenterology and Nutrition, Loyola University Medical Center, Maywood, IL.

出版信息

ACG Case Rep J. 2023 Jun 8;10(6):e01060. doi: 10.14309/crj.0000000000001060. eCollection 2023 Jun.

Abstract

Malignant neoplasms arising from the Brunner gland are exceedingly rare. A 62-year-old man with a history of surgical resection of Brunner gland adenocarcinoma presented with upper extremity cellulitis. Hospital course was complicated by atrial fibrillation and hematochezia. Bidirectional endoscopy was negative; however, small bowel enteroscopy revealed recurrence of Brunner gland adenocarcinoma 6 years after surgical resection. To our knowledge, this is the first reported case of recurrent Brunner gland adenocarcinoma after curative resection.

摘要

起源于布伦纳腺的恶性肿瘤极为罕见。一名有布伦纳腺腺癌手术切除史的62岁男性出现上肢蜂窝织炎。住院期间并发房颤和便血。双向内镜检查结果为阴性;然而,小肠镜检查显示手术切除6年后布伦纳腺腺癌复发。据我们所知,这是首例报道的布伦纳腺腺癌根治性切除术后复发的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6352/10249712/6fd7938e8307/ac9-10-e01060-g001.jpg

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