Villous Adenocarcinoma Arising in the Bypassed Duodenum 18 Years after a Billroth II Subtotal Gastrectomy: Report of a Case and Review of the Literature

Lipper, Stanley; Graves, Garrett V.
March 1985
American Journal of Gastroenterology;Mar1985, Vol. 80 Issue 3, p174
Academic Journal
Eighteen years after a Billroth 11 procedure for a duodenal ulcer, a 65-year-old man presented with a large epigastric mass which was clinically interpreted as a pancreatic carcinoma. Fourteen months later, reevaluation of the enlarging mass led to a diagnosis of a villous tumor of the afferent limb of the gastroenterostomy. Laparotomy revealed an advanced villous adenocarcinoma. We could find only one other similar case in a 50-year literature review.


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