Open AccessReal case of primitive embryonal duodenal carcinoma in a young man
Author(s) -
J. Barbieux,
Riccardo Méméo,
Vito De Blasi,
Sebastian Suciu,
Vanina Faucher,
Gerlinde Avérous,
Catherine Roy,
Jacques Marescaux,
Didier Mutter,
Patrick Pessaux
Publication year - 2017
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v23.i4.730
Subject(s) - medicine , duodenum , epigastric pain , abdomen , lesion , pathology , carcinoma , common bile duct , radiology , anatomy , surgery , vomiting
We report here the case of a young man suffering from a rare germ cell tumour. The patient was a 25-year-old man who was referred to our centre for asthenia, stinging epigastric pain, and an iron deficiency anaemia. Gastroscopy revealed a circumferential vegetating lesion on the second portion of the duodenum. The lesion was indurated at the third portion of the duodenum, responsible for a tight stenosis. A computerized tomography-scan of the chest, abdomen and pelvis, and a pancreatic MRI showed a circumferential lesion with a bi-ductal dilatation ( i.e ., of the common bile duct and Wirsung's duct) without metastatic localisation. The patient underwent a pancreaticoduodenectomy with lymph node dissection including all cellular adipose tissues of the hepatic pedicle from the hepatic common artery and of the retroportal lamina. Histological findings were suggestive of a duodenal embryonal carcinoma with pancreatic infiltration. This is the second published case highlighting the duodenal primitive localisation of an embryonal carcinoma with pancreatic infiltration.