Carcinoma of ampulla of vater with extensive invasion to the whole pancreas.
- Author:
Seung Hoon BAEK
1
;
Dae Young ZANG
;
Gyu Won KIM
;
Young Cheol LEE
;
Jae Young LEE
;
Ki Taek JANG
;
Hae Lim PARK
Author Information
1. Department of Internal Medicine, College of Medicine, Hallym University, Hallym University Sacred Heart Hospital, Anyang, Korea. fhdzang@kornet.net
- Publication Type:Case Report
- Keywords:
Vater's Ampulla;
Neoplasm Metastasis
- MeSH:
Adenocarcinoma;
Ampulla of Vater*;
Biopsy;
Common Bile Duct;
Diagnosis;
Duodenum;
Female;
Humans;
Lymph Nodes;
Middle Aged;
Neoplasm Metastasis;
Pancreas*;
Pancreatectomy;
Physical Examination;
Steatorrhea;
Tomography, Spiral Computed;
Tomography, X-Ray Computed;
Weight Loss
- From:Korean Journal of Medicine
2003;65(5):600-603
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Carcinoma of ampulla of Vater is a papillary neoplasm arising in the last centi meter of the common bile duct (CBD) where it passes through the wall of the duodenum and ampulla of Vater. We report the case of an ampulla of Vater cancer with the characteristic extensive invasion to the whole pancreas. A 53-year old female was admitted to our hospital with chief complaint of epigastric pain, steatorrhea, and weight loss for 2 months. On physical examination, epigastric tenderness was detected. Gastroduodenoscopic biopsy from the mass revealed well differentiated adenocarcinoma. Abdominal CT demonstrated intraduodenal protruding mass with diffuse invasion to the whole pancreas. Arterial phase helical CT scan revealed intense heterogenous enhancement of entire pancreas. She underwent the Whipple procedure with total pancreatectomy. Final pathologic diagnosis was adenocarcinoma of ampulla of Vater with invasion of the whole pancreas and metastasis to the large number of regional lymph nodes.
