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KMID : 0359020110420060415
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 6 p.415 ~ p.418
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A Case of Adenosquamous Carcinoma of the Ampulla of Vater
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Kim Hong-Jun
Lee Sung-Koo
Jang Ji-Woong
Ryu Choong-Heon
Park Do-Hyun
Lee Sang-Soo
Seo Dong-Wan
Kim Myung-Hwan
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Abstract
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Primary adenosquamous carcinoma arising from the papilla of Vater is an extremely rare tumor. Here we report a case of adenosquamous carcinoma of the duodenal major papilla. The patient was a 56-year-old man presenting with abdominal discomfort and anorexia. A computed tomography (CT) scan showed dilatation of the common bile duct (CBD) and both intrahepatic ducts with a suspicious mass in the distal CBD. Duodenoscopy revealed a mass with an irregular surface at the papilla. The patient underwent Whipple’s operation. He was diagnosed as having adenosquamous carcinoma of the papilla of Vater. Eighteen months after pancreaticoduodenectomy, metastatic lymph nodes were noted in a follow-up CT scan.
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KEYWORD
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Ampulla, Papilla, Adenosquamous, Carcinoma
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