内容紹介
Summary
A 19-year-old woman with general fatigue who initially consulted a local hospital was referred to us for further examination of jaundice. Contrast-enhanced CT revealed apparent dilatation of the bile duct. Gastrointestinal endoscopy exhibited a tumor of the papilla of Vater(adenocarcinoma, tub2). Thus, pylorus-preserving pancreatoduodenectomy with D2 lymph node dissection was performed. Pathologically, she was diagnosed with a T3bN1M0, pStageⅡB tumor. After surgery, the patient underwent adjuvant chemotherapy containing S-1 for 6 months. We herein report a juvenile case of ampullary region carcinoma that was successfully treated.
要旨
症例は19歳,女性。前医にて黄疸を指摘され当院を紹介受診した。腹部造影CT検査で肝内・外胆管の拡張を,上部消化管内視鏡検査で乳頭部に潰瘍性病変を認めた。生検で中分化型腺癌と診断され,幽門輪温存膵頭十二指腸切除術が施行された。病理にてpT3bN1M0,pStageⅡBの診断となり,術後補助療法としてS-1の内服を6か月間行った。術後17年現在,無再発生存中である。若年性十二指腸乳頭部癌の症例は自験例を含め3例と非常にまれなため報告する。
目次
A 19-year-old woman with general fatigue who initially consulted a local hospital was referred to us for further examination of jaundice. Contrast-enhanced CT revealed apparent dilatation of the bile duct. Gastrointestinal endoscopy exhibited a tumor of the papilla of Vater(adenocarcinoma, tub2). Thus, pylorus-preserving pancreatoduodenectomy with D2 lymph node dissection was performed. Pathologically, she was diagnosed with a T3bN1M0, pStageⅡB tumor. After surgery, the patient underwent adjuvant chemotherapy containing S-1 for 6 months. We herein report a juvenile case of ampullary region carcinoma that was successfully treated.
要旨
症例は19歳,女性。前医にて黄疸を指摘され当院を紹介受診した。腹部造影CT検査で肝内・外胆管の拡張を,上部消化管内視鏡検査で乳頭部に潰瘍性病変を認めた。生検で中分化型腺癌と診断され,幽門輪温存膵頭十二指腸切除術が施行された。病理にてpT3bN1M0,pStageⅡBの診断となり,術後補助療法としてS-1の内服を6か月間行った。術後17年現在,無再発生存中である。若年性十二指腸乳頭部癌の症例は自験例を含め3例と非常にまれなため報告する。