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KMID : 0338420070220010055
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The Korean Journal of Internal Medicine
2007 Volume.22 No. 1 p.55 ~ p.58
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Acral Metastasis in a Patient with Ampullary Carcinoma
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Cho Eun-Young
Kim Tae-Hyeon
Park Seok-Don
Yun Ki-Jung
Choi Suck-Chei
Kim Haak-Cheoul
Nah Yong-Ho
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Abstract
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Although skin metastasis from a malignant tumor of an internal organ usually occurs at an advanced disease stage, there has been no prior report of a cutaneous acral metastasis from ampullary carcinoma to date. We report a 71-year old male patient with cutaneous metastasis from an ampullary adenocarcinoma. The patient had a history of pylorus preserving pancreaticoduodenectomy for carcinoma of the ampulla of Vater two years prior to presentation. Physical examination revealed ill-defined, painful and hard erythematous nodules at the left thumb and distal phalanx of the right middle finger. The computed tomography scan showed low density masses in the retroperitoneum; the histological examination of a nodule from the right middle finger showed a metastatic adenocarcinoma. This case illustrates that cutaneous metastasis from ampullary carcinoma has a poor prognosis.
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KEYWORD
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Ampulla of Vater, Adenocarinoma, Metastasis
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