Primary Malignant Lymphoma of the Ampulla of Vater.
- Author:
Yun Jung LEE
1
;
Jae Hyong PARK
;
Sung Hoon MOON
;
Hea Suk JANG
;
Sung Mok CHAI
;
Ki Rhack KIM
;
Dong Wan SEO
;
Sung Koo LEE
;
Myung Hwan KIM
;
Young Il MIN
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mhkim@www.amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Primary lymphoma;
Ampulla of Vater;
Recurrent pancreatitis;
Jaundice
- MeSH:
Adenocarcinoma;
Adenoma;
Adult;
Ampulla of Vater*;
Biopsy;
Cholangiopancreatography, Endoscopic Retrograde;
Constriction, Pathologic;
Dilatation;
Duodenoscopy;
Female;
Humans;
Jaundice;
Lymphoma*;
Lymphoma, B-Cell;
Mucins;
Mucous Membrane;
Pancreatic Ducts;
Pancreatitis;
Sphincterotomy, Endoscopic
- From:Korean Journal of Gastrointestinal Endoscopy
2001;22(4):245-249
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
