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Korean J Pancreas Biliary Tract > Volume 18(1):2013 > Article
The Korean Journal of Pancreas and Biliary Tract 2013;18(1):23-27. doi: https://doi.org/10.15279/kpba.2013.18.1.23
조영증강 내시경 초음파 검사에서 저혈관성 소견을 보인 바터 팽대부 소세포암 1예
이상엽1, 이홍식1, 김창덕1, 최병광1, 강근희1, 최정완1, 염범우2, 이정현2
고려대학교 의과대학 내과학교실, 2고려대학교 의과대학 병리학교실"
A Case of Primary Small-Cell Carcinoma of Ampulla of Vater with Contrast Enhanced Ultrasound Findings
Sang Yup Lee1, Hong Sik Lee1, Chang Duck Kim1, Byung Kwang Choi1, Keun Hee Kang1, Jung Wan Choe1, Bom Woo Yeom2, Jeong Hyeon Lee2
1Department of Internal medicine, Korea University College of Medicine, Seoul, Korea/2Department of Pathology, Korea University College of Medicine, Seoul, Korea
We report a 58-year-old woman patient with jaundice and weight loss. Abdominal computed tomography, magnetic resonance cholangiography and endoscopic retrograde cholangiography revealed a mass at ampulla of Vater with regional lymph nodes enlargement. Contrast enhanced endoscopic ultrasound revealed well-demarcated hypovascular mass, and the mass was not enhanced. Endoscopic biopsy was performed at ampullary mass, which was covered with normal mucosa. Ulcerative lesion was found on orifice. The patient had pylorus-preserving pancreaticoduodenectomy. On pathological examination of the resected specimen, the mass of ampulla of Vater was small cell carcinoma, and immunohistochemisty showed positive reaction for CD56 (cluster of differentiation 56) and synaptophysin.
Keywords: small-cell carcinoma, ampulla of Vater, contrast enhanced endoscopic ultrasound
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