Korean J Gastrointest Endosc > Volume 22(4); 2001 > Article
Korean Journal of Gastrointestinal Endoscopy 2001;22(4): 245-249.
Primary Malignant Lymphoma of the Ampulla of Vater
Yun Jung Lee, M.D., Jae Hyong Park, M.D., Sung Hoon Moon, M.D., Hea Suk Jang, M.D.,Sung Mok Chai, M.D., Ki Rhack Kim, M.D., Dong Wan Seo, M.D., Sung Koo Lee, M.D.,Myung Hwan Kim, M.D. and Young Il Min, M.D.
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
The vast majority of ampullary tumors are epithelial in nature and are either adenoma or adenocarcinoma. Rarely lymphoma or mucinous and squamous elements may be found. Primary lymphoma of pancreaticobiliary region are exceedingly rare, and mostly nodal. Recently, we have experienced a 29-year-old woman with primary malignant lymphoma of the ampulla of Vater with recurrent acute pancreatitis and jaundice. On duodenoscopy, bulging ampulla with normal overlying duodenal mucosa was observed. Endoscopic sphincterotomy was done and tumor inside the ampulla was exposed. ERCP showed high grade biliary and pancreatic ductal strictures extending from the papillary orifice, with upstream ductal dilatation, respectively. With endoscopic biopsy alone, the tumor was confirmed as B-cell lymphoma histologically. (Korean J Gastrointest Endosc 2001;22:245⁣249)
Key Words: Primary lymphoma, Ampulla of Vater, Recurrent pancreatitis, Jaundice
주요어: 원발성 악성 림프종, 유두부, 재발성 췌장염, 황달
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