Korean Journal of Gastrointestinal Endoscopy 1989;9(1): 39-42.
조기위암을 동반한 원발성 십이지장 구부선암 1예 ( A Case of Primary Duodenal Bulb Carcinoma Combined with Early Gastric Cancer )
박인원, 이호심, 심상준, 김승호, 유병철, 박실무, 김종숙, 박용욱 (In Won Park, Ho Shin Lee, Sang Joon Shim, Seung Ho Kim, Byung Chul Yoo, Sill Moo Park, Chong Sook Kim and Yong Wook Park)
Abstract
The occurence of multiple primary malignant tumor is cansidered infrequent and the primary adenocarcinoma of the duodenal bulb is a rare conditian. The autopsy incidence of duodenal adenocarcinoma is between 0.019 and 0.5%. The first documented case of duodenal carcinoma was described by Hamburger in 1746. Increased awareness of the condition, improvement in diagnostic technics and a more aggressive surgical approach have changed this disease from a postmortem curiosity to a condition that can be treated with satisfactory results. There are several reports on the high incidence of second additinoal cancer in patients with small intestinal cancer. Recently, we have experienced a case of primary duodenal bulb adenocarcinoma with early gastric cancer in a 68 year old male patient with complaints of epigastric pain, diarrhea and body weight loss. So we report the case of primary duodenal bulb adenocarcinoma combined with early gastric cancer with a brief review of literature.
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