A Case of Duodenal Signet-ring Cell Carcinoma Suspected to Originate in Brunner's gland
A 57-year-old man followed up since 1994 for duodenal polyposis was found in gastrointestinal endoscopy in April 1999 to have duodenal carcinoma. A pathological study of a duodenal biopsy showed poorly differentiated adenocarcinoma. Under a diagnosis of primary duodenal carcinoma, we conducted a pan...
Saved in:
| Published in | Nippon Shokaki Geka Gakkai zasshi Vol. 36; no. 4; pp. 260 - 265 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japanese Society of Gastroenterological Surgery
2003
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0386-9768 1348-9372 |
| DOI | 10.5833/jjgs.36.260 |
Cover
| Abstract | A 57-year-old man followed up since 1994 for duodenal polyposis was found in gastrointestinal endoscopy in April 1999 to have duodenal carcinoma. A pathological study of a duodenal biopsy showed poorly differentiated adenocarcinoma. Under a diagnosis of primary duodenal carcinoma, we conducted a pancreaticoduodenectomy. The 1.5×1.2 cm tumor was located orally from the ampulla of Vater in the second portion of the duodenum. The classification was Borrmann type 2. Pathological study showed signet-ring cell carcinoma limited to the proper muscle. Because his duodenal polyposis had ectopic gastric mucosa, we wanted to determine the cancer originated from the ectopic gastric mucosa or duodenal Brunner's gland. Histochemical study using periodic acid-schiff (PAS), concanavalin A (con A) and high iron diamine-alcian blue (HID-AB) revealed that the origine of the carcinoma was suspected to be Brunner's gland. |
|---|---|
| AbstractList | A 57-year-old man followed up since 1994 for duodenal polyposis was found in gastrointestinal endoscopy in April 1999 to have duodenal carcinoma. A pathological study of a duodenal biopsy showed poorly differentiated adenocarcinoma. Under a diagnosis of primary duodenal carcinoma, we conducted a pancreaticoduodenectomy. The 1.5×1.2 cm tumor was located orally from the ampulla of Vater in the second portion of the duodenum. The classification was Borrmann type 2. Pathological study showed signet-ring cell carcinoma limited to the proper muscle. Because his duodenal polyposis had ectopic gastric mucosa, we wanted to determine the cancer originated from the ectopic gastric mucosa or duodenal Brunner's gland. Histochemical study using periodic acid-schiff (PAS), concanavalin A (con A) and high iron diamine-alcian blue (HID-AB) revealed that the origine of the carcinoma was suspected to be Brunner's gland. |
| Author | Yoshimura, Seiji Kawamura, Shuji Ariga, Takamitsu Kinoshita, Hirohisa Oshima, Ikuya Otsuki, Kazunori Miyamoto, Takeshi Shoko, Tomohisa Ozaki, Masahiko Kakuta, Yukio |
| Author_xml | – sequence: 1 fullname: Shoko, Tomohisa organization: Department of Surgery, Yokohama Rosai Hospital – sequence: 1 fullname: Miyamoto, Takeshi organization: Graduate School of Medicine, Chiba University, Department of Academic Surgery – sequence: 1 fullname: Oshima, Ikuya organization: Department of Surgery, Yokohama Rosai Hospital – sequence: 1 fullname: Otsuki, Kazunori organization: Nikko Kinen Hospital – sequence: 1 fullname: Kakuta, Yukio organization: Department of Pathology, Yokohama Rosai Hospital – sequence: 1 fullname: Ariga, Takamitsu organization: Department of Surgery, Yokohama Rosai Hospital – sequence: 1 fullname: Yoshimura, Seiji organization: Department of Surgery, Yokohama Rosai Hospital – sequence: 1 fullname: Ozaki, Masahiko organization: Department of Surgery, Yokohama Rosai Hospital – sequence: 1 fullname: Kawamura, Shuji organization: Department of Pathology, Yokohama Rosai Hospital – sequence: 1 fullname: Kinoshita, Hirohisa organization: Department of Surgery, Yokohama Rosai Hospital |
| BookMark | eNp1kD1PwzAQhi1UJErpxB_wxoBS7Dh24rG0fEmVOhTEGF2cS3CVOpXtDvx7UooYkFjudLrnPZ2eSzJyvUNCrjmbyUKIu-22DTOhZqliZ2TMRVYkWuTpiIyZKFSic1VckGkItmJMFvkw8zF5n9MFBKR9Q5eHvkYHHd3Y1mFMvHUtXWDXDYQ31vU7oJtD2KOJWNPY07W3rXUQkVpH7_3BOfQ3gbYduPqKnDfQBZz-9Al5e3x4XTwnq_XTy2K-SkyqspjIBhvUqSwAUaWy0o3gmVZQqIopIyTUGeZZJYZnhc4kaNA5y0EpJpkAXosJ4ae7xvcheGxKYyNE27vowXYlZ-VRTnmUUwpVDnKGzO2fzN7bHfjPf-jlid6GCC3-suCjNR1-s1wrfeSzUxliv2vzAb5EJ74AP3GAUA |
| CitedBy_id | crossref_primary_10_1007_s12328_020_01173_w crossref_primary_10_1007_s00595_007_3707_1 crossref_primary_10_5833_jjgs_45_46 |
| ContentType | Journal Article |
| Copyright | The Japanese Society of Gastroenterological Surg |
| Copyright_xml | – notice: The Japanese Society of Gastroenterological Surg |
| DBID | AAYXX CITATION |
| DOI | 10.5833/jjgs.36.260 |
| DatabaseName | CrossRef |
| DatabaseTitle | CrossRef |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 1348-9372 |
| EndPage | 265 |
| ExternalDocumentID | 10_5833_jjgs_36_260 article_jjgs1969_36_4_36_4_260_article_char_en |
| GroupedDBID | 2WC ALMA_UNASSIGNED_HOLDINGS EBS EJD JSF KQ8 OK1 RJT AAYXX CITATION |
| ID | FETCH-LOGICAL-c264t-5fefe9258aee625b9f31496a86b06c35ad4e74b39763945a9a9707a660503a1d3 |
| ISSN | 0386-9768 |
| IngestDate | Thu Apr 24 23:04:51 EDT 2025 Tue Jul 01 02:47:01 EDT 2025 Wed Sep 03 06:30:23 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | false |
| IsScholarly | true |
| Issue | 4 |
| Language | Japanese |
| License | https://creativecommons.org/licenses/by-nc/4.0/deed.ja |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-c264t-5fefe9258aee625b9f31496a86b06c35ad4e74b39763945a9a9707a660503a1d3 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/jjgs1969/36/4/36_4_260/_article/-char/en |
| PageCount | 6 |
| ParticipantIDs | crossref_citationtrail_10_5833_jjgs_36_260 crossref_primary_10_5833_jjgs_36_260 jstage_primary_article_jjgs1969_36_4_36_4_260_article_char_en |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | 2003 2003-00-00 |
| PublicationDateYYYYMMDD | 2003-01-01 |
| PublicationDate_xml | – year: 2003 text: 2003 |
| PublicationDecade | 2000 |
| PublicationTitle | Nippon Shokaki Geka Gakkai zasshi |
| PublicationTitleAlternate | Jpn J Gastroenterol Surg |
| PublicationYear | 2003 |
| Publisher | The Japanese Society of Gastroenterological Surgery |
| Publisher_xml | – name: The Japanese Society of Gastroenterological Surgery |
| References | 22) 中山淳, 勝山努: 腫瘍と粘液. 医のあゆみ144: 796-800, 1988 23) 勝山努, 山上修, 本田孝行ほか: 外科病理と糖質の組織化学. 病理と臨4: 883-888, 1986 8) 蓮岡英明, 竹内義明, 竹内義郎ほか: 十二指腸原発印環細胞癌の1例. Gastroenterol Endosc 38: 1928, 1996 6) 徳弘直紀, 平井康夫, 鈴木良一ほか: 十二指腸水平部原発印環細胞癌の1例. 日消病会誌92: 874-878, 1995 13) 和久利彦, 上塚大一, 渡辺直樹ほか: 迷入膵より発生した粘液産生十二指腸癌の1例. 日消外会誌29: 2289-2293, 1996 19) 小松正伸, 加藤紘之, 本原敏司ほか: Brunner腺由来十二指腸癌の1例. 日消外会誌27: 1815-1819, 1994 11) 老子善康, 西村浩一, 村田高志ほか: 内視鏡的ポリペクトミーにより切除しえた早期十二指腸癌の1例. Gastroenterol Endosc 31: 2704-2708, 1989 5) 森田敏和, 川瀬建夫, 上井一男ほか: 十二指腸球後部早期癌の1例. 消内視鏡の進歩19: 230-233, 1981 18) 長尾俊宗, 神谷武, 安藤高司ほか: 組織化学的検討によりBrunner腺由来と考えられた原発生早期十二指腸癌の1例. Gastroenterol Endosc 38: 1928, 1996 9) 林川長兵衛, 金森辰次郎: 十二指腸膠様癌の1例. 東京医学雑誌12: 912, 1898 21) 福田秀一, 森松稔: ブルンネル腺由来十二指腸癌の一例. 久留米医会誌53: 210-213, 1990 1) Dixon CF, Lichtman AL, Weber HM et al: Malignant lesions of the duodenum. Surg Gynecol Obstet 83: 83-93, 1946 4) 吉谷和男, 高橋秀夫, 吉利晃治ほか: 十二指腸球部早期癌の一例. Gastroenterol Endosc 10: 232-235, 1968 7) 鈴木雅之, 石橋治昭, 花沢一芳ほか: 原発性早期十二指腸癌の1例. 日臨外医会誌55: 1800-1803, 1994 10) 三輪潔: 全国胃がん登録調査報告第50号平成2年度症例. 胃癌研究会・三輪胃がん登録研究所, 1998, p85-86 15) 藤澤貴史, 前田光雄, 萩野晴彦ほか: 胃上皮化生より発生した陥凹型早期十二指腸癌の1例. Gastroenterol Endosc 40: 1683, 1998 3) Spira IA, Ghazi A, Wolff WI: Primary adenocarcinoma of the duodenum. Cancer 39: 1721-1726, 1977 24) 勝山努, 塚原正典, 那須毅: コンキャナバリンAパラドックス染色法の消化管病理への応用. 医のあゆみ111: 156-158, 1984 16) 荒井正彦, 牛丸博泰, 今井康晴ほか: Brunner腺由来と考えられた早期十二指腸癌の1例. Gastroenterol Endosc 40: 1872-1877, 1998 20) 酒井宏, 中村喜行, 大池淑元ほか: Brunner腺型粘液を有する十二指腸癌の1例. Endosc Forum digest dis 8: 144-149, 1992 12) 両角郭郎, 藤野雅之: 十二指腸潰瘍および腫瘍様病変文献的考察. 胃と腸28: 621-626, 1993 17) 酒井宏, 嶋倉勝秀, 古島哲夫ほか: ブルンネル腺型粘液を有する早期十二指腸癌の1例. Endosc Forum digest dis 12: 168, 1996 2) Moss WM, McCart PM, Juler G et al: Primary adenocarcinoma of the duodenum. Arch Surg 108: 805-807, 1974 14) 仙丸直人, 本間浩樹, 橋本正人ほか: 迷入膵より発生した十二指腸癌の1例. 日臨外医会誌56: 1171-1174, 1995 |
| References_xml | – reference: 19) 小松正伸, 加藤紘之, 本原敏司ほか: Brunner腺由来十二指腸癌の1例. 日消外会誌27: 1815-1819, 1994 – reference: 24) 勝山努, 塚原正典, 那須毅: コンキャナバリンAパラドックス染色法の消化管病理への応用. 医のあゆみ111: 156-158, 1984 – reference: 6) 徳弘直紀, 平井康夫, 鈴木良一ほか: 十二指腸水平部原発印環細胞癌の1例. 日消病会誌92: 874-878, 1995 – reference: 7) 鈴木雅之, 石橋治昭, 花沢一芳ほか: 原発性早期十二指腸癌の1例. 日臨外医会誌55: 1800-1803, 1994 – reference: 18) 長尾俊宗, 神谷武, 安藤高司ほか: 組織化学的検討によりBrunner腺由来と考えられた原発生早期十二指腸癌の1例. Gastroenterol Endosc 38: 1928, 1996 – reference: 14) 仙丸直人, 本間浩樹, 橋本正人ほか: 迷入膵より発生した十二指腸癌の1例. 日臨外医会誌56: 1171-1174, 1995 – reference: 23) 勝山努, 山上修, 本田孝行ほか: 外科病理と糖質の組織化学. 病理と臨4: 883-888, 1986 – reference: 10) 三輪潔: 全国胃がん登録調査報告第50号平成2年度症例. 胃癌研究会・三輪胃がん登録研究所, 1998, p85-86 – reference: 22) 中山淳, 勝山努: 腫瘍と粘液. 医のあゆみ144: 796-800, 1988 – reference: 21) 福田秀一, 森松稔: ブルンネル腺由来十二指腸癌の一例. 久留米医会誌53: 210-213, 1990 – reference: 11) 老子善康, 西村浩一, 村田高志ほか: 内視鏡的ポリペクトミーにより切除しえた早期十二指腸癌の1例. Gastroenterol Endosc 31: 2704-2708, 1989 – reference: 12) 両角郭郎, 藤野雅之: 十二指腸潰瘍および腫瘍様病変文献的考察. 胃と腸28: 621-626, 1993 – reference: 8) 蓮岡英明, 竹内義明, 竹内義郎ほか: 十二指腸原発印環細胞癌の1例. Gastroenterol Endosc 38: 1928, 1996 – reference: 3) Spira IA, Ghazi A, Wolff WI: Primary adenocarcinoma of the duodenum. Cancer 39: 1721-1726, 1977 – reference: 5) 森田敏和, 川瀬建夫, 上井一男ほか: 十二指腸球後部早期癌の1例. 消内視鏡の進歩19: 230-233, 1981 – reference: 9) 林川長兵衛, 金森辰次郎: 十二指腸膠様癌の1例. 東京医学雑誌12: 912, 1898 – reference: 13) 和久利彦, 上塚大一, 渡辺直樹ほか: 迷入膵より発生した粘液産生十二指腸癌の1例. 日消外会誌29: 2289-2293, 1996 – reference: 4) 吉谷和男, 高橋秀夫, 吉利晃治ほか: 十二指腸球部早期癌の一例. Gastroenterol Endosc 10: 232-235, 1968 – reference: 16) 荒井正彦, 牛丸博泰, 今井康晴ほか: Brunner腺由来と考えられた早期十二指腸癌の1例. Gastroenterol Endosc 40: 1872-1877, 1998 – reference: 17) 酒井宏, 嶋倉勝秀, 古島哲夫ほか: ブルンネル腺型粘液を有する早期十二指腸癌の1例. Endosc Forum digest dis 12: 168, 1996 – reference: 2) Moss WM, McCart PM, Juler G et al: Primary adenocarcinoma of the duodenum. Arch Surg 108: 805-807, 1974 – reference: 15) 藤澤貴史, 前田光雄, 萩野晴彦ほか: 胃上皮化生より発生した陥凹型早期十二指腸癌の1例. Gastroenterol Endosc 40: 1683, 1998 – reference: 1) Dixon CF, Lichtman AL, Weber HM et al: Malignant lesions of the duodenum. Surg Gynecol Obstet 83: 83-93, 1946 – reference: 20) 酒井宏, 中村喜行, 大池淑元ほか: Brunner腺型粘液を有する十二指腸癌の1例. Endosc Forum digest dis 8: 144-149, 1992 |
| SSID | ssib005879761 ssib000936942 ssib023160767 ssib058493923 ssj0000491391 ssib002223853 |
| Score | 1.6212395 |
| Snippet | A 57-year-old man followed up since 1994 for duodenal polyposis was found in gastrointestinal endoscopy in April 1999 to have duodenal carcinoma. A... |
| SourceID | crossref jstage |
| SourceType | Enrichment Source Index Database Publisher |
| StartPage | 260 |
| SubjectTerms | Brunner's gland duodenal signet-ring cell carcinoma histochemical study |
| Title | A Case of Duodenal Signet-ring Cell Carcinoma Suspected to Originate in Brunner's gland |
| URI | https://www.jstage.jst.go.jp/article/jjgs1969/36/4/36_4_260/_article/-char/en |
| Volume | 36 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | The Japanese Journal of Gastroenterological Surgery, 2003, Vol.36(4), pp.260-265 |
| journalDatabaseRights | – providerCode: PRVAFT databaseName: Open Access Digital Library customDbUrl: eissn: 1348-9372 dateEnd: 99991231 omitProxy: true ssIdentifier: ssj0000491391 issn: 0386-9768 databaseCode: KQ8 dateStart: 19690101 isFulltext: true titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html providerName: Colorado Alliance of Research Libraries |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3Nb9MwFLfK4MAFgQCx8SEfJiERpbRx4iQHDlWBDaStQurEbtFL4qxpaFPR9LD-BfzZvGenXjb1MLhYUWKnjd8vz7_nvA_GjiNa1zPI3djP0UDJPemmsYjdAnAxEcEgT3US17NzeXrhf78MLnu9Px2vpU2T9rPt3riS_5EqnkO5UpTsP0jW3hRP4DHKF1uUMLb3kvHIGYPZi_-8qVGBUGaP8mqpGld71Y1pX25MxYKW9QLIAYfCKpFhIt-cmIJYjc4ZQukHdOBLuHZ2NT0sZT0vVytSKrO6QrbpnKgKnBOoKiidLTLvWWllVl4DCl7vvU6hUp1LEzxeaJr6rdpc25VgsgVTNfsM1jArq_oGfqXZ8MX7wKJsTHUWuzshOupLRNJFsmO0qzLqVfioXkV4S_-aBCgtzvyuMjWVBtp12TM1Je6qfIoaI5U_v1r3hezbMd3E2ncWPOuGiAYQDU9ocCJkgoMfsIdeiJyFPu__6BBVqnvod74_I6vqEp0gCvFRraZE0iwH4Q2xQ5aHL0BLxObGLkPqrcs57qbJBI_S__nYeZhbdOnRHC2GnbehJkDTp-xJa7nwkYHhM9abw3P2c8QJgrwu-A6CvANBThDkFoLcQpA3NbcQ5OWStxB8v-YagC_Yxdcv0_Gp29bqcDOk1I0bFKpQsRdEoBSa1GlcCLS9JUQyHchMBJD7KvRTYr8i9gOIIQ4HIUhJ-YhgmIuX7GBZL9UrxocFWnxhng4VSD_20khGXqYE2RrkJ1Acsg-7KUmyNpE91VP5leyR5yE7tp1XJn_L_m6fzNzaTu1LrTtRCinq6JsG-9vLFBuJqujofj_zmj3WzqB6C-8NO2h-b9RbJLVN-k7j7S_zRZuX |
| linkProvider | Colorado Alliance of Research Libraries |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=A+Case+of+Duodenal+Signet-ring+Cell+Carcinoma+Suspected+to+Originate+in+Brunner%27s+gland&rft.jtitle=Nippon+Shokaki+Geka+Gakkai+zasshi&rft.au=Miyamoto%2C+Takeshi&rft.au=Oshima%2C+Ikuya&rft.au=Ozaki%2C+Masahiko&rft.au=Ariga%2C+Takamitsu&rft.date=2003&rft.issn=0386-9768&rft.eissn=1348-9372&rft.volume=36&rft.issue=4&rft.spage=260&rft.epage=265&rft_id=info:doi/10.5833%2Fjjgs.36.260&rft.externalDBID=n%2Fa&rft.externalDocID=10_5833_jjgs_36_260 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0386-9768&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0386-9768&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0386-9768&client=summon |