Papillary adenocarcinoma of the third part of the duodenum

Kumar, Purushottam; Kumar, Manoj; Ranjan, Nishit

doi:10.4103/ssj.ssj_12_17

Cited by 2 publications

(3 citation statements)

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“…The mainstay of treatment is surgical resection [5]. There is, however, no consensus on the surgical procedure of choice (local excision, segmental resection, or pancreaticoduodenectomy) [6]. In more advanced disease, palliative procedures may be required such as bypasses, stenting, and feeding jejunostomy.…”

Section: Discussionmentioning

confidence: 99%

Primary adenocarcinoma of the angle of Treitz: A case report

Sherif¹,

Elkorety²,

Edward³

et al. 2020

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Introduction: Adenocarcinoma of the fourth part of the duodenum is rare, and patients often present with a long history of non-specific symptoms, sometimes with advanced disease. Case Report:We report the case of a 41-year-old male patient presenting with symptoms of upper gastrointestinal obstruction. Investigations included upper gastrointestinal (GI) endoscopy, barium followthrough, ultrasound, and computed tomography, which indicated gastric outlet obstruction. The precise nature of the lesion was subsequently revealed following diagnostic laparoscopy and laparotomy where an obstructing mass involving the duodenojejunal junction was identified. Segmental resection with a 2 cm safety margin, end to side anastomosis, and feeding jejunostomy was performed, and the lesion was confirmed as adenocarcinoma with free surgical margins. The patient made a good postoperative recovery with one year follow-up oesophagogastroduodenoscopy (OGD) and computed tomography (CT) scan, excluding local or nodal recurrence. Conclusion:A high index of suspicion coupled with appropriate investigation and early surgical resection is necessary to manage the disease and improve prognosis.

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Section: Discussionmentioning

confidence: 99%

Primary adenocarcinoma of the angle of Treitz: A case report

Sherif¹,

Elkorety²,

Edward³

et al. 2020

Int J Case Rep Images

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“…After curative resection adjuvant chemotherapy should be considered for stage III disease [7], [17], [18]. Tumor stage, resectability and nodal involvement are independent predictors of survivor in D3 adenocarcinoma [18].…”

Section: Discussionmentioning

confidence: 99%

“…Adenocarcinoma of small bowel accounts for less than one per cent of all gastrointestinal malignancies [3], [4], [5]. Around half of all the small bowel adenocarcinomas are located in the duodenum [6], [7]. Among the four segments of duodenum the ampullary region of second part of duodenum (D2) is the most common site of involvement [6].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic and Management Difficulties in the Adenocarcinoma Third Part of Duodenum: A Case Discussion

Singh

Mohanty

et al. 2018

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Duodenal Adenocarcinomas (DA) represent approximately 0.3% of all malignant gastrointestinal tumors. DA is the most common site for adenocarcinoma in gastrointestinal track. The most common site of DA within duodenum is the 2nd part of duodenum. A high degree of suspicion is required for the diagnosis of third/fourth part DA. Push enteroscopy is the definitive diagnostic tool for third/fourth part DA. We discussed a case of adenocarcinomas third part of the duodenum with brief discussion on controversies in optimal surgical management.

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Papillary adenocarcinoma of the third part of the duodenum

Cited by 2 publications

References 0 publications

Primary adenocarcinoma of the angle of Treitz: A case report

Primary adenocarcinoma of the angle of Treitz: A case report

Diagnostic and Management Difficulties in the Adenocarcinoma Third Part of Duodenum: A Case Discussion

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