Adenocarcinoma arising from heterotopic pancreas at the first portion of the duodenum: a case report
Malignant transformation of a heterotopic pancreas in the duodenum is very rare. To our knowledge, only 15 cases have been reported worldwide, including the present case. We herein report a rare case of malignant transformation of a heterotopic pancreas in the duodenum along with a review of the lit...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-08-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605231194902 |
| _version_ | 1797733314096791552 |
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| author | Chang Gok Woo Jisun Lee Seung-Myoung Son |
| author_facet | Chang Gok Woo Jisun Lee Seung-Myoung Son |
| author_sort | Chang Gok Woo |
| collection | DOAJ |
| description | Malignant transformation of a heterotopic pancreas in the duodenum is very rare. To our knowledge, only 15 cases have been reported worldwide, including the present case. We herein report a rare case of malignant transformation of a heterotopic pancreas in the duodenum along with a review of the literature. A 65-year-old man was admitted to our hospital for evaluation of dyspepsia and vomiting. Esophagogastroduodenoscopy showed a stricture of the duodenal bulb. Laparoscopic distal gastrectomy was performed. Although a duodenal tumor had not been suspected, histopathological examination of the surgical specimen showed adenocarcinoma arising from a heterotopic pancreas (Heinrich type III) in the duodenum. Four months postoperatively, the patient received adjuvant chemotherapy. He was still alive without recurrence at 24 months of follow-up. Adenocarcinoma arising in a heterotopic pancreas is rare; therefore, preoperative diagnosis is difficult to obtain. Effective management of a heterotopic pancreas depends on the presence or absence of symptoms. Awareness of the possibility of malignant change in a heterotopic pancreas of the duodenum prior to surgery is helpful for the diagnosis and appropriate management of such patients. |
| first_indexed | 2024-03-12T12:27:22Z |
| format | Article |
| id | doaj.art-0d69bbb7a1d74e708eae4c21975977e7 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-03-12T12:27:22Z |
| publishDate | 2023-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-0d69bbb7a1d74e708eae4c21975977e72023-08-29T19:39:18ZengSAGE PublishingJournal of International Medical Research1473-23002023-08-015110.1177/03000605231194902Adenocarcinoma arising from heterotopic pancreas at the first portion of the duodenum: a case reportChang Gok WooJisun LeeSeung-Myoung SonMalignant transformation of a heterotopic pancreas in the duodenum is very rare. To our knowledge, only 15 cases have been reported worldwide, including the present case. We herein report a rare case of malignant transformation of a heterotopic pancreas in the duodenum along with a review of the literature. A 65-year-old man was admitted to our hospital for evaluation of dyspepsia and vomiting. Esophagogastroduodenoscopy showed a stricture of the duodenal bulb. Laparoscopic distal gastrectomy was performed. Although a duodenal tumor had not been suspected, histopathological examination of the surgical specimen showed adenocarcinoma arising from a heterotopic pancreas (Heinrich type III) in the duodenum. Four months postoperatively, the patient received adjuvant chemotherapy. He was still alive without recurrence at 24 months of follow-up. Adenocarcinoma arising in a heterotopic pancreas is rare; therefore, preoperative diagnosis is difficult to obtain. Effective management of a heterotopic pancreas depends on the presence or absence of symptoms. Awareness of the possibility of malignant change in a heterotopic pancreas of the duodenum prior to surgery is helpful for the diagnosis and appropriate management of such patients.https://doi.org/10.1177/03000605231194902 |
| spellingShingle | Chang Gok Woo Jisun Lee Seung-Myoung Son Adenocarcinoma arising from heterotopic pancreas at the first portion of the duodenum: a case report Journal of International Medical Research |
| title | Adenocarcinoma arising from heterotopic pancreas at the first portion of the duodenum: a case report |
| title_full | Adenocarcinoma arising from heterotopic pancreas at the first portion of the duodenum: a case report |
| title_fullStr | Adenocarcinoma arising from heterotopic pancreas at the first portion of the duodenum: a case report |
| title_full_unstemmed | Adenocarcinoma arising from heterotopic pancreas at the first portion of the duodenum: a case report |
| title_short | Adenocarcinoma arising from heterotopic pancreas at the first portion of the duodenum: a case report |
| title_sort | adenocarcinoma arising from heterotopic pancreas at the first portion of the duodenum a case report |
| url | https://doi.org/10.1177/03000605231194902 |
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