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KMID : 0359020100410040251
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Korean Journal of Gastrointestinal Endoscopy
2010 Volume.41 No. 4 p.251 ~ p.254
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A Case of Signet-ring Cell Carcinoma of the Ampulla of Vater
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Kim Dong-Ik
Park Sang-Wook
Lee Geum-Soo
Jung Geyong-Yun
Jung Hyun-Jin
Moon Hyeong-Cheol
Hong Gun-Young
Yim Youn-Gun
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Abstract
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Signet-ring cell carcinoma of the ampulla of Vater is so rare that only 16 cases have been reported. Here we report a case of a 47-year-old man with signet-ring cell carcinoma in the ampulla of Vater. The patient was hospitalized for right upper quadrant abdominal pain and jaundice which had developed 10 days prior. Computed tomography (CT) and ultrasonography (US) revealed dilatation of the common bile duct and the intrahepatic bile duct. On duodenoscopy, a bulging mass with an irregular margin in the major papilla was noted. Histologic findings showed a signet-ring cell carcinoma. Surgical resection was not done because lymph node metastasis was noted during the operation. Hence, conservative treatment including chemotherapy and bile drainage was done.
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KEYWORD
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Signet-ring cell carcinoma, Ampulla of Vater cancer
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