Intraoperative Irradiation in Resected Carcinoma of the Pancreas and Portal Vein

1992 ◽  
Vol 127 (10) ◽  
pp. 1213 ◽  
Author(s):  
Mitsukazu Gotoh
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Daisuke Udagawa ◽  
Motohide Shimazu ◽  
Tadayuki Sakuragawa ◽  
Shotaro Maruyama ◽  
Yusuke Uchi ◽  
...  

Abstract Background The portal vein is occasionally invaded by advanced malignant tumors in the pancreatic head region. However, pancreatic cancer rarely has portal vein tumor thrombi. We report a case of pancreatic cancer with a massive portal vein tumor thrombus undergoing pancreatoduodenectomy with combined resection of the portal vein. Case presentation A 71-year-old man visited a clinic with complaints of abdominal discomfort and vomiting. Gastroscopy showed a massive tumor in the duodenum. He was referred to our hospital for further examinations and treatment. The CT showed a low-density tumor with a maximum diameter of 10 cm located on the pancreas head. A tumor widely invaded the duodenum and had a 6-cm portal vein tumor thrombus. MRCP did not show obvious stenosis of the pancreatic duct due to tumor invasion. There were no findings suggesting distant metastases. Biopsy of the duodenum revealed adenocarcinoma. He was diagnosed with primary pancreatic cancer or duodenal cancer with portal vein tumor thrombus and underwent pancreatoduodectomy with resection and reconstruction of the portal vein. He suffered no postoperative complications and was discharged 2 months after surgery. The final histopathological diagnosis was pancreatic colloid carcinoma. He received adjuvant chemotherapy, but died 16 months after surgery. Conclusions Colloid carcinoma of the pancreas is rare, and pancreatic carcinoma seldom forms a portal vein tumor thrombus. We experienced a very rare case of pancreatic colloid carcinoma with portal vein tumor thrombus and performed radical resection of the pancreas and portal vein.


2012 ◽  
Vol 45 (10) ◽  
pp. 1052-1058
Author(s):  
Akira Ouchi ◽  
Masatoshi Isogai ◽  
Toru Harada ◽  
Yuji Kaneoka ◽  
Keitaro Kamei ◽  
...  

2004 ◽  
Vol 74 (4) ◽  
pp. 291-293 ◽  
Author(s):  
Valery Usatoff ◽  
Bernd Wittkop ◽  
Kalpana Devalia ◽  
Peter Guest ◽  
John Buckels

Surgery Today ◽  
1996 ◽  
Vol 26 (5) ◽  
pp. 357-360 ◽  
Author(s):  
Takashi Ueda ◽  
Yonson Ku ◽  
Taichi Kanamaru ◽  
Yasuhisa Hasegawa ◽  
Yoshikazu Kuroda ◽  
...  

Author(s):  
Masako Yamada ◽  
Yutaka Tanuma

Although many fine structural studies on the vertebrate liver have been reported on mammals, avians, reptiles, amphibians, teleosts and cyclostomes, there are no studies on elasmobranchii liver except one by T. Ito etal. (1962) who studied it on light microscopic level. The purpose of the present study was to as certain the ultrastructural details and cytochemical characteristics of normal elasmobranchii liver and was to compare with the other higher vertebrate ones.Seventeen Scyliorhinus torazame, one kind of elasmobranchii, were obtained from the fish stock of the Ueno Zoo aquarium, Ueno, Tokyo. The sharks weighing about 300-600g were anesthetized with MS-222 (Sigma), and the livers were fixed by perfusion fixation via the portal vein according to the procedure of Y. Saito et al. (1980) for 10 min. Then the liver tissues were immersed in the same fixative for 2 hours and postfixed with 1% OsO4-solution in 0.1 Mc acodylate buffer for one hour. In order to make sure a phagocytic activity of Kupffer cells, latex particles (0.8 μm in diameter, 0.05mg/100 g b.w.) were injected through the portal vein for one min before fixation. For preservation of lipid droplets in the cytoplasm, a series of these procedure were performed under ice cold temperature until the end of dehydration.


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