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[SmallTODAY 029 - Duodenal cancer]

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55 years old woman visited the health screening center due to abdominal pain for a few weeks. A duodenal lesion was found and referred. What is your impression?

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Immediately after referral, endoscopic examination was done.

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The pathology was adenocarcinoma (M/D). However, there were multiple hepatic metastatis.

When I review the initial endoscopy and second endoscopic images, it looks like an acute benign duodenal ulcer with severe edematous change. Is there a clue suggessting cancer? It is very difficult. Compared the small ulcer crator, the mucosal edema is too severe. Benign ulcer symptoms usually disappear very quickly with medication. Considering the prominent edema and persistent symptom after medication may be important for the correct diagnosis. Biopsies are necessary for initial severe duodenal ulcer to rule out malignancy.


[References]

1) EsoTODAY - ½ÊÀÌÁöÀåÁúȯ Áõ·ÊÅäÀÇ

2) SmallTODAY - ¼ÒÀåÁúȯ Áõ·ÊÅäÀÇ

3) ColonTODAY - ´ëÀåÁúȯ Áõ·ÊÅäÀÇ

4) Dr. Sinn's LiverTODAY - °£Áúȯ Áõ·ÊÅäÀÇ

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2020-4-4)