Korean J Med.  2003 Nov;65(5):600-603.

Carcinoma of ampulla of vater with extensive invasion to the whole pancreas

• Baek SH
• Zang DY
• Kim GW
• Lee YC
• Lee JY
• Jang KT
• Park HL

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.

Keyword

Vater's Ampulla; Neoplasm Metastasis

MeSH Terms

Adenocarcinoma
Ampulla of Vater*
Biopsy
Common Bile Duct
Diagnosis
Duodenum
Female
Humans
Lymph Nodes
Middle Aged
Neoplasm Metastasis
Pancreas*
Pancreatectomy
Physical Examination
Steatorrhea
Tomography, Spiral Computed
Tomography, X-Ray Computed
Weight Loss