Seven-year survival after pancreaticoduodenectomy for early recurrent XXXX involving the duodenum A case report.

@entity1 @entity66 @entity812 @entity9727 @entity1358 @entity3 @entity360
@entity1358 has a range of clinical manifestations including vague abdominal symptoms, haematuria, @entity812 and a palpable abdominal mass. Generally, 25-30% of @entity1 are found to have @entity3 at diagnosis but a further 30-50% of @entity1 with @entity66 will develop @entity3 during the course of their illness. Spread in @entity1358 is lymphatic, haematogenous, transcoelomic or by direct invasion and the most common sites of @entity3 in @entity1358 are the lung, lymph nodes, bones and liver. @entity3 to the small intestine is rare and the duodenum is the segment least often affected. @entity1358 @entity3 to the duodenum occurs most commonly in the periampullary region, followed by the bulband usually manifest as @entity360 or obstruction. Bleeding may be the first symptom of @entity3 in @entity1 who have previously undergone nephrectomy for @entity1358 . Survival is better for @entity1 with @entity66 compared with those with regional and distant @entity3 . This report describes a case of duodenal @entity3 from @entity1358 in which the @entity1 presented with @entity360 and @entity9727 and was treated with pancreaticoduodenectomy with an excellent long-term outcome. Long-term survival was better than survival data reported in the current literature. . KEY WORDS: Duodenal @entity3 , @entity360 , @entity1358 , Pancreaticoduodenectomy.
