Coexistence of Large Cell Neuroendocrine Carcinoma and Adenocarcinoma of the Ampulla of Vater
We report a case of coexisting poorly differentiated endocrine carcinoma and conventional adenocarcinoma in the ampulla of Vater. A 70-year-old female had a recent history of symptoms and signs related to obstructive jaundice. An initial endoscopic biopsy of the ampulla of Vater showed a poorly diff...
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| Veröffentlicht in: | Journal of the Chinese Medical Association 2008-10, Vol.71 (10), p.536-540 |
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| creator | Liu, Shih-Hao Tsay, Shyh-Haw |
| description | We report a case of coexisting poorly differentiated endocrine carcinoma and conventional adenocarcinoma in the ampulla of Vater. A 70-year-old female had a recent history of symptoms and signs related to obstructive jaundice. An initial endoscopic biopsy of the ampulla of Vater showed a poorly differentiated endocrine carcinoma in the lamina propria of duodenal mucosa. The tumor could also be categorized into large cell neuroendocrine carcinoma under the WHO classification of pulmonary neuroendocrine tumors. The patient underwent Whipple's operation. After thorough microscopic examination of the ampulla of Vater, we incidentally found another conventional adenocarcinoma on the inner side of the duodenal papilla, and the tumor collided with the aforementioned carcinoma. The association of neuroendocrine tumor and adenocarcinoma has been reported in a few case reports and a small series. We also review the literature concerning large cell neuroendocrine carcinoma in this area. |
| doi_str_mv | 10.1016/S1726-4901(08)70164-3 |
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A 70-year-old female had a recent history of symptoms and signs related to obstructive jaundice. An initial endoscopic biopsy of the ampulla of Vater showed a poorly differentiated endocrine carcinoma in the lamina propria of duodenal mucosa. The tumor could also be categorized into large cell neuroendocrine carcinoma under the WHO classification of pulmonary neuroendocrine tumors. The patient underwent Whipple's operation. After thorough microscopic examination of the ampulla of Vater, we incidentally found another conventional adenocarcinoma on the inner side of the duodenal papilla, and the tumor collided with the aforementioned carcinoma. The association of neuroendocrine tumor and adenocarcinoma has been reported in a few case reports and a small series. We also review the literature concerning large cell neuroendocrine carcinoma in this area.</description><identifier>ISSN: 1726-4901</identifier><identifier>EISSN: 1728-7731</identifier><identifier>DOI: 10.1016/S1726-4901(08)70164-3</identifier><identifier>PMID: 18955190</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>adenocarcinoma ; Adenocarcinoma - pathology ; Aged ; ampulla of Vater ; Ampulla of Vater - pathology ; Carcinoma, Large Cell - pathology ; Common Bile Duct Neoplasms - pathology ; endocrine carcinoma ; Female ; Humans ; Internal Medicine ; Neuroendocrine Tumors - pathology</subject><ispartof>Journal of the Chinese Medical Association, 2008-10, Vol.71 (10), p.536-540</ispartof><rights>Elsevier</rights><rights>2008 Elsevier</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c465t-d08de40b039f418f9431c8b2f252ff0594c842301b245065efe33146549af8ab3</citedby><cites>FETCH-LOGICAL-c465t-d08de40b039f418f9431c8b2f252ff0594c842301b245065efe33146549af8ab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S1726-4901(08)70164-3$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18955190$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Shih-Hao</creatorcontrib><creatorcontrib>Tsay, Shyh-Haw</creatorcontrib><title>Coexistence of Large Cell Neuroendocrine Carcinoma and Adenocarcinoma of the Ampulla of Vater</title><title>Journal of the Chinese Medical Association</title><addtitle>J Chin Med Assoc</addtitle><description>We report a case of coexisting poorly differentiated endocrine carcinoma and conventional adenocarcinoma in the ampulla of Vater. A 70-year-old female had a recent history of symptoms and signs related to obstructive jaundice. An initial endoscopic biopsy of the ampulla of Vater showed a poorly differentiated endocrine carcinoma in the lamina propria of duodenal mucosa. The tumor could also be categorized into large cell neuroendocrine carcinoma under the WHO classification of pulmonary neuroendocrine tumors. The patient underwent Whipple's operation. After thorough microscopic examination of the ampulla of Vater, we incidentally found another conventional adenocarcinoma on the inner side of the duodenal papilla, and the tumor collided with the aforementioned carcinoma. The association of neuroendocrine tumor and adenocarcinoma has been reported in a few case reports and a small series. We also review the literature concerning large cell neuroendocrine carcinoma in this area.</description><subject>adenocarcinoma</subject><subject>Adenocarcinoma - pathology</subject><subject>Aged</subject><subject>ampulla of Vater</subject><subject>Ampulla of Vater - pathology</subject><subject>Carcinoma, Large Cell - pathology</subject><subject>Common Bile Duct Neoplasms - pathology</subject><subject>endocrine carcinoma</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Neuroendocrine Tumors - pathology</subject><issn>1726-4901</issn><issn>1728-7731</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEuP1DAQhCPEin3ATwDlhOCQpR3biX0BjUYsII3gwOOGLMdpg5fEnrWTFfvv8SQjkPbCye1SVbX6K4qnBC4JkObVZ9LWTcUkkBcgXrZZYhV9UJxlWVRtS8nDZV4tp8V5StcArJGSPypOiZCcEwlnxfdtwN8uTegNlsGWOx1_YLnFYSg_4hwD-j6Y6HzWdDTOh1GX2vflpkcfzF8pJ6efWG7G_TwMy_ebnjA-Lk6sHhI-Ob4Xxdert1-276vdp3cftptdZVjDp6oH0SODDqi0jAgrGSVGdLWteW0tcMmMYDUF0tWMQ8PRIqUkR5nUVuiOXhTP1959DDczpkmNLpl8hPYY5qQa2dZABGQjX40mhpQiWrWPbtTxThFQB65q4aoO0BQItXBVNOeeHRfM3Yj9v9QRZDa8WQ2Yz7x1GFUy7gC1dxHNpPrg_rvi9b0GMzjvjB5-4R2m6zBHnxkqolKtYC05dIBYGij9AzTmm4E</recordid><startdate>20081001</startdate><enddate>20081001</enddate><creator>Liu, Shih-Hao</creator><creator>Tsay, Shyh-Haw</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20081001</creationdate><title>Coexistence of Large Cell Neuroendocrine Carcinoma and Adenocarcinoma of the Ampulla of Vater</title><author>Liu, Shih-Hao ; Tsay, Shyh-Haw</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-d08de40b039f418f9431c8b2f252ff0594c842301b245065efe33146549af8ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>adenocarcinoma</topic><topic>Adenocarcinoma - pathology</topic><topic>Aged</topic><topic>ampulla of Vater</topic><topic>Ampulla of Vater - pathology</topic><topic>Carcinoma, Large Cell - pathology</topic><topic>Common Bile Duct Neoplasms - pathology</topic><topic>endocrine carcinoma</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Neuroendocrine Tumors - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Shih-Hao</creatorcontrib><creatorcontrib>Tsay, Shyh-Haw</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the Chinese Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Shih-Hao</au><au>Tsay, Shyh-Haw</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coexistence of Large Cell Neuroendocrine Carcinoma and Adenocarcinoma of the Ampulla of Vater</atitle><jtitle>Journal of the Chinese Medical Association</jtitle><addtitle>J Chin Med Assoc</addtitle><date>2008-10-01</date><risdate>2008</risdate><volume>71</volume><issue>10</issue><spage>536</spage><epage>540</epage><pages>536-540</pages><issn>1726-4901</issn><eissn>1728-7731</eissn><abstract>We report a case of coexisting poorly differentiated endocrine carcinoma and conventional adenocarcinoma in the ampulla of Vater. A 70-year-old female had a recent history of symptoms and signs related to obstructive jaundice. An initial endoscopic biopsy of the ampulla of Vater showed a poorly differentiated endocrine carcinoma in the lamina propria of duodenal mucosa. The tumor could also be categorized into large cell neuroendocrine carcinoma under the WHO classification of pulmonary neuroendocrine tumors. The patient underwent Whipple's operation. After thorough microscopic examination of the ampulla of Vater, we incidentally found another conventional adenocarcinoma on the inner side of the duodenal papilla, and the tumor collided with the aforementioned carcinoma. The association of neuroendocrine tumor and adenocarcinoma has been reported in a few case reports and a small series. We also review the literature concerning large cell neuroendocrine carcinoma in this area.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>18955190</pmid><doi>10.1016/S1726-4901(08)70164-3</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | adenocarcinoma Adenocarcinoma - pathology Aged ampulla of Vater Ampulla of Vater - pathology Carcinoma, Large Cell - pathology Common Bile Duct Neoplasms - pathology endocrine carcinoma Female Humans Internal Medicine Neuroendocrine Tumors - pathology |
| title | Coexistence of Large Cell Neuroendocrine Carcinoma and Adenocarcinoma of the Ampulla of Vater |
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