Carcinoma of ampulla of vater with extensive invasion to the whole pancreas / 대한내과학회지
Korean Journal of Medicine
; : 600-603, 2003.
Article
em Ko
| WPRIM
| ID: wpr-166531
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Pâncreas
/
Pancreatectomia
/
Exame Físico
/
Ampola Hepatopancreática
/
Biópsia
/
Adenocarcinoma
/
Redução de Peso
/
Tomografia Computadorizada por Raios X
/
Ducto Colédoco
/
Tomografia Computadorizada Espiral
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2003
Tipo de documento:
Article
País de publicação:
COREA DEL SUR
/
COREIA DO SUL
/
KR
/
SOUTH KOREA