A Case of Psammomatous Carcinoid Tumor of the Ampulla of Vater.
- Author:
Jon SUH
1
;
Jae Hoon YANG
;
Su Jin HONG
;
Sang Woo CHA
;
Jong Ho MOON
;
Yong Deok CHO
;
Moon Sung LEE
;
Chan Sup SHIM
;
Boo Sung KIM
;
Hyung Chul KIM
;
Kye Won KWON
Author Information
1. Department of Internal Medicine, Institute for Digestive Research, Soon Chun Hyang University College of Medicine, Seoul, Korea. schidr@hosp.sch.ac.kr
- Publication Type:Original Article
- Keywords:
Psammoma body;
Carcinoid tumor;
Somatostatin;
Ampulla of Vater
- MeSH:
Ampulla of Vater*;
Biopsy;
Carcinoid Tumor*;
Humans;
Jaundice, Obstructive;
Middle Aged;
Somatostatin;
Wounds and Injuries
- From:Korean Journal of Gastrointestinal Endoscopy
2004;28(5):262-266
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Carcinoid tumors of the ampulla of Vater are rare. The variant form of ampullary carcinoid tumors containing psammoma bodies is noted extremely rare and produces somatostatin. Obstructive jaundice is the most common presenting symptom of ampullary carcinoid tumor. It is difficult to diagnose ampullary carcinoid tumor preoperatively because of their relatively small size and submucosal location. We report a case of ampullary psammomatous carcinoid tumor and also review the literature. Deep biopsies were taken from the edges of the papillotomy wound of the protruded ampulla of Vater from a 51-year-old man. The histology was consistent with psammomatous carcinoid. 111In-octreoscan revealed an abnormal focal increased radiouptake in the infrahepatic area which suggested the presence of a somatostain producing tumor. The patient underwent a Whipple's operation.
