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Case Reports
. 2023 Oct 6;18(12):4400-4403.
doi: 10.1016/j.radcr.2023.09.037. eCollection 2023 Dec.

A rare case of duodenal adenocarcinoma

Ho Xuan Tuan  1 , Dau Quang Lieu  2 , Tran Ngoc Anh  2   3 , Hang Quoc Tuan  4 , Tran-Thi Huong Ly  5 , Vo-Van Kha  6 , Nguyen Minh Duc  7
Affiliations
Case Reports

A rare case of duodenal adenocarcinoma

Ho Xuan Tuan et al. Radiol Case Rep. .

Abstract

Duodenal adenocarcinoma is very rare. Its clinical picture is nonspecific and the diagnosis is often accidental. The factors that affect survival are difficult to determine because the number of patients is not high. The common site of duodenal tumors and surgical removal are also debatable. The treatment guidelines published so far have mostly been evaluated in retrospective studies conducted over a 20-year period with relatively small sample sizes. The author presents a case of duodenal adenocarcinoma in a 62-year-old male patient with a clinical manifestation of melena. Duodeno-cephalo-pancreatectomy was the surgical option.

Keywords: Adenocarcinoma; Computed tomography; Duodenum.

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Figures

Fig 1
Fig. 1
Upper gastrointestinal endoscopy showed an ulceration (arrow) 3 cm in diameter, with some small bleeding spots 5 cm from the papilla.
Fig 2
Fig. 2
Abdominal computed tomography scan of the duodenal bulb. A low-density nodule, 10 × 4 mm in size and fatty in appearance, is seen in the submucosal layer. No abnormal lymph nodes are seen around the stomach.
Fig 3
Fig. 3
Biopsy results for the tumor in the duodenum. Tumor cells have large, atypical nuclei and form irregular glands. The stroma is infiltrated by chronic inflammatory cells. All findings are consistent with adenocarcinoma.
See this image and copyright information in PMC

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