Presentation
Abdominal pain and dyspepsia.
Patient Data
Age: 60 years
Gender: Female
From the case:
Duodenal adenocarcinoma
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A 75 × 30 × 50 mm polypoid intraluminal enhancing mass is noted in the second part of the duodenum that infiltrates the ampulla of Vater, causing intra- and extra-hepatic bile ducts dilatation.
The uterus contains a few small fibroids.
Case Discussion
Pathology-proven duodenal adenocarcinoma, which is the most common primary malignancy of the duodenum and represents only 0.3% of all gastrointestinal malignancies.
More than 50% of them have metastases at the time of diagnosis.
Pancreaticoduodenectomy is required for tumors of the first and second portions of the duodenum.
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