Korean J Gastrointest Endosc.  2010 Oct;41(4):251-254.

A Case of Signet-ring Cell Carcinoma of the Ampulla of Vater

• Kim DI
• Park SW
• Lee GS
• Jung GY
• Jung HJ
• Moon HC
• Hong GY
• Lim YK

Abstract

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.

Keyword

Signet-ring cell carcinoma; Ampulla of Vater cancer

MeSH Terms

Abdominal Pain
Ampulla of Vater
Bile
Bile Ducts, Intrahepatic
Common Bile Duct
Dilatation
Drainage
Duodenoscopy
Humans
Jaundice
Lymph Nodes
Middle Aged
Neoplasm Metastasis