Korean Journal of Gastrointestinal Endoscopy 2000;20(4): 285-288.
십이지장 구부의 누공형태로 발생한 선암 1예 ( A Case of Tubular Adenocarcinoma on Fistula of Duodenal Bulb )
최유진(Eu Gen Choi),서재석(Jae Seok Seo),이수택(Soo Teik Lee),안득수(Deuk Soo Ahn)
Abstract
The first documented case of duodenal carcinoma was described by Hamburger in 1746. Primary adeno-carcinoma of duodenum is rare. Malignant tumors of the small bowel are reported to account for about 1% of all gastrointestinal carcinoma. The autopsy incidence of duodenal adenocarcinoma is about 0.3% of all malignancy. The second and third portions of the duodenum are the usual sites of adenocarcinoma. Cancer in the duodenal bulb is exceedingly rare. Most of them revealed an intraluminal mass or wall thickening. But we have experienced a case of exophytic growth pattern adenocarcinoma such as the fistula of duodenal bulb in 49 year old male patient with hematemesis. For its great rarity, we report this case with review of literatures (Korean J Gastrointest Endosc 2000;20:285-288)
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