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KMID : 0870420030070010156
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2003 Volume.7 No. 1 p.156 ~ p.159
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Carcinoid of the Ampulla of Vater: A Case Report
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Jang Hyuk-Jai
Cho Yong-Pil
Kim Yong-Ho
Han Myoung-Sik
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Abstract
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Carcinoid tumors of the gastrointestinal tract are usually localized in the appendix, the small intestine and the rectum. Carcinoid of the ampulla of Vater is an extremely rare lesion. The clinical manifestations of the carcinoid of the ampulla of Vater are nonspecific, and preoperative diagnosis is difficult because the tumor grows submucosally. Endoscopy is the main diagnostic procedure; but big and deep biopsies are needed to confirm to histologic nature of the tumor. Carcinoid of the ampulla of Vater have specific clinical features that distinguishes it from the duodenal and small bowel carcinoid. The management of this tumor for cure requires radical pancreaticoduodectomy or local excision with lymph node dissection. We experienced one case of carcinoid in a 61-year-old woman who had epigastric pain. We report a patient and review the literature, giving special attention to the clinical picture and treatment of this disease.
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KEYWORD
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Carcinoid tumor, Ampulla of Vater
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