A Case of Adenosquamous Carcinoma of the ampulla of Vater |
Hong Jun Kim, M.D., Sung Koo Lee, M.D., Ji Woong Jang, M.D., Choong Heon Ryu, M.D., Do Hyun Park, M.D.,
Sang Soo Lee, M.D., Dong Wan Seo, M.D. and Myung-Hwan Kim, M.D. |
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea |
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Abstract |
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Primary adenosquamous carcinoma arising from the papilla of Vater is an
extremely rare tumor. Here we report a case of adenosquamous carcinoma of the
duodenal major papilla. The patient was a 56-year-old man presenting with
abdominal discomfort and anorexia. A computed tomography (CT) scan showed
dilatation of the common bile duct (CBD) and both intrahepatic ducts with a
suspicious mass in the distal CBD. Duodenoscopy revealed a mass with an irregular
surface at the papilla. The patient underwent Whipple's operation. He was
diagnosed as having adenosquamous carcinoma of the papilla of Vater. Eighteen
months after pancreaticoduodenectomy, metastatic lymph nodes were noted in a
follow-up CT scan. |
Key Words:
Ampulla, Papilla, Adenosquamous, Carcinoma |
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