Korean J Gastroenterol.  2006 Aug;48(2):132-136.

A Case of Adenosquamous Carcinoma of the Papilla of Vater

Affiliations
  • 1Departments of Internal Medicine, Hallym University College of Medicine, Anyang, Korea. kjh825@hallym.or.kr
  • 2Departments of Diagnostic Radiology, Hallym University College of Medicine, Anyang, Korea
  • 3Departments of Pathology, Hallym University College of Medicine, Anyang, Korea

Abstract

Adenosquamous carcinoma of the papilla of Vater is a rare tumor and only a few cases have been reported so far. Here, we report a case of adenosquamous carcinoma in a 76-year-old male who presented with jaundice and right upper quadrant abdominal pain. Ultrasonography and enhanced abdominal CT scans showed dilated common bile duct (CBD) and intrahepatic bile duct (IHD) with a suspicious obstructing mass in distal CBD. On endoscopy, obstructing and ulcerated mass was noted on the papilla of Vater. Histopathological inspection of the biopsied specimens from mass showed adenosquamous cell carcinoma of the papilla of Vater. Since the patient refused operation, we inserted a self-expandable metallic stent in distal CBD. This is the first case report on adenosquamous carcinoma of the papilla of Vater in Korea.

Keyword

Carcinoma, Adenosquamous; Papilla of Vater

MeSH Terms

Aged
Ampulla of Vater/*pathology
Carcinoma, Adenosquamous/*diagnosis/pathology/surgery
Cell Differentiation
Humans
Immunohistochemistry
Male
Tomography, X-Ray Computed
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